Individual provider Active NPI

Olimpia Vargas, OD

  • Optometrist
  • San Juan, PR
National Provider Identifier
1497729149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
145 Issued in PR
Practice address
Carr. #2 H48 Marginal Santa Rita
San Juan, PR 00692
Phone
(787) 883-1859
Fax
(787) 883-7692
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 145 PR Primary

Addresses

Primary practice location

Carr. #2 H48 Marginal Santa Rita
San Juan, PR 00692

Mailing address

H48 Marginal Santa Rita
Carr. #2
San Juan, PR 00692
Phone (787) 883-1859

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
I20100908000895 PR Practitioner - Optometry 5991820300 Practice locations: Vega Alta, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497729149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H48 MARGINAL SANTA RITA",
            "address_2": "CARR. #2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-1859",
            "fax_number": "787-883-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 H48 MARGINAL SANTA RITA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-1859",
            "fax_number": "787-883-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "OLIMPIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.