Individual provider Active NPI

Vivianne M Garcia Fernandez, O.D.

  • Optometrist
  • Caguas, PR
National Provider Identifier
1487661898
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
607 Issued in PR
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

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0058537MedicaidPR

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
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

OrganizationSpecialtyStatusNew patients
Optica Centro LLC Optometrist CurrentSince Aug 8, 2021 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.

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

Verify at the official NPI Registry.