Active NPI
Vivianne M Garcia Fernandez, O.D.
- Optometrist
- Caguas, PR
National Provider Identifier
1487661898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 607
- Practice address
- Calle Munoz Rivera 9 C2
Esq Celis Aguilera
Caguas, PR 00725-9888 - Phone
- (787) 903-1120
- Fax
- (787) 963-0335
- NPI assigned
- Aug 1, 2006
- 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 | 607 | PR | Primary |
Addresses
Primary practice location
Calle Munoz Rivera 9 C2
Esq Celis Aguilera
Caguas, PR 00725-9888
Mailing address
9 C Munoz Rivera Esq Celis Aguilera
C2
Caguas, PR 00725
Phone (787) 903-0140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058537 | Medicaid | PR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080821000150 | PR | Practitioner - Optometry | 5193890481 | Practice locations: San Juan, PR; Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Calle Munoz Rivera
Caguas, PR 00725-2684
Phone (787) 746-9290
Optica Centro
Calle Munoz Rivera 9 C 2
Caguas, PR 00725-2684
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optica Centro LLC | Optometrist | Current | 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
- Caguas, PR
- NPI 1902570138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1487661898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 C MUNOZ RIVERA ESQ CELIS AGUILERA",
"address_2": "C2",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-903-0140",
"fax_number": "787-744-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MUNOZ RIVERA 9 C2",
"address_2": "ESQ CELIS AGUILERA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007259888",
"telephone_number": "787-903-1120",
"fax_number": "787-963-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA FERNANDEZ",
"first_name": "VIVIANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2021-07-14",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058537",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.