Individual provider Active NPI

Wanda M Tort, O.D.

  • Vision Therapy Optometrist
  • Bayamon, PR
National Provider Identifier
1447229521
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
143 Issued in PR
Practice address
Ext. Hnas Davila
J12-a Calle 2
Bayamon, PR 00959-5001
Phone
(787) 780-0677
Fax
(787) 740-5070
NPI assigned
Mar 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 143 PR
Vision Therapy Optometrist 152WV0400X 143 PR Primary

Addresses

Primary practice location

Ext. Hnas Davila
J12-a Calle 2
Bayamon, PR 00959-5001

Mailing address

Ext. Hnas Davila
J12-a Calle 2
Bayamon, PR 00959-5001
Phone (787) 780-0677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000585 PR Practitioner - Optometry 3375605298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometras Pico Tort Y Gorbea LLCGroup PAC ID 3779881560, 2 clinicians

Practice addresses (Care Compare)

Ext Villa Rica J12A Calle
Suite 2
Bayamon, PR 00959-5077
Phone (787) 780-0677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447229521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT. HNAS DAVILA",
            "address_2": "J12-A CALLE 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595001",
            "telephone_number": "787-780-0677",
            "fax_number": "787-740-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT. HNAS DAVILA",
            "address_2": "J12-A CALLE 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595001",
            "telephone_number": "787-780-0677",
            "fax_number": "787-740-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORT",
        "first_name": "WANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "143",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "PR",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.