Organization Active NPI

Eyemart

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1437370566
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
211 Issued in PR
Legal business name
EYEMART
Doing business as
Eyemart
Practice address
B50 Calle Rio Bayamon
Rio Bayamon
Bayamon, PR 00961-3428
Phone
(787) 798-3333
Fax
(787) 798-6829
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wilda I Santiago, O.D.
Title
Owner
Phone
(787) 798-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 211 PR Primary

Addresses

Primary practice location

B50 Calle Rio Bayamon
Rio Bayamon
Bayamon, PR 00961-3428

Mailing address

MQ41 Paseo del Parque
Bayamon, PR 00961-3579
Phone (787) 646-8944

Other names 1

  • EYEMART Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437370566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MQ41 PASEO DEL PARQUE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613579",
            "telephone_number": "787-646-8944",
            "fax_number": "787-798-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B50 CALLE RIO BAYAMON",
            "address_2": "RIO BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613428",
            "telephone_number": "787-798-3333",
            "fax_number": "787-798-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "WILDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-798-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEMART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.