Active NPI
Susan Vega Batista, OD
- Optometrist
- Dorado, PR
National Provider Identifier
1417459181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 712
- Practice address
- B275 Carr 693 KM 1.5
Doramar Shopping Center
Dorado, PR 00646 - Phone
- (787) 980-8008
- Fax
- (787) 980-8008
- NPI assigned
- Mar 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 712 | PR | Primary |
Addresses
Primary practice location
B275 Carr 693 KM 1.5
Doramar Shopping Center
Dorado, PR 00646
Mailing address
PO Box 7891
PMB 333
Guaynabo, PR 00970
Phone (787) 944-4122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 712 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optik Optometry Group | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Guaynabo, PR
- NPI 1588263305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1417459181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7891",
"address_2": "PMB 333",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00970",
"telephone_number": "787-944-4122",
"fax_number": "787-980-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B275 CARR 693 KM 1.5",
"address_2": "DORAMAR SHOPPING CENTER",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-980-8008",
"fax_number": "787-980-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA BATISTA",
"first_name": "SUSAN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PR",
"license": "712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.