Individual provider Active NPI

Luis A. Ortiz Whatts, O.D.

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1467418376
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
91 Issued in PR
Practice address
73 Calle Dr Veve
Bayamon, PR 00961-6344
Phone
(787) 787-0732
Fax
(787) 785-5848
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 91 PR Primary

Addresses

Primary practice location

73 Calle Dr Veve
Bayamon, PR 00961-6344

Mailing address

PO Box 128
Bayamon, PR 00960-0128
Phone (787) 787-0732

Other identifiers 4

IdentifierTypeStateIssuer
077051OtherPRLA CRUZ AZUL DE PR
660290574OtherPRMMM HEALTHCARE
215063OtherPRPREFERRED HEALTH PLAN
0910OtherPRINTERNATIONAL MEDICAL CAR

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
I20110617000618 PR Practitioner - Optometry 9133307317 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 Calle Dr Veve
Bayamon, PR 00961-6344
Phone (787) 787-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91PRMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1467418376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600128",
            "telephone_number": "787-787-0732",
            "fax_number": "787-785-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE DR VEVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616344",
            "telephone_number": "787-787-0732",
            "fax_number": "787-785-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ WHATTS",
        "first_name": "LUIS",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "91",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "077051",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE",
            "identifier": "660290574",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PLAN",
            "identifier": "215063",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "0910",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.