Active NPI
Optometrics PSC
- Optometrist
- San Juan, PR
National Provider Identifier
1497871735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 193
- Legal business name
- OPTOMETRICS PSC
- Practice address
- 369 Ave Domenech # B
San Juan, PR 00918-3708 - Phone
- (787) 754-0814
- Fax
- (787) 756-5823
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carmen Maria Suarez, OD
- Title
- Optometrist
- Phone
- (787) 754-0814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 193 | PR | Primary |
Addresses
Primary practice location
369 Ave Domenech # B
San Juan, PR 00918-3708
Mailing address
369 Ave Domenech # B
San Juan, PR 00918-3708
Phone (787) 754-0814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56757OP | Other | PR | TRIPLE-S |
Other names 1
- puerto rico low vision center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
369 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 754-0814
369 Ave Domenech
#B
San Juan, PR 00918
Phone (787) 754-0814
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Low Vision Rehabilitation Optometrist
- San Juan, PR
- NPI 1295816395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235347200000",
"number": "1497871735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 AVE DOMENECH # B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183708",
"telephone_number": "787-754-0814",
"fax_number": "787-756-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 AVE DOMENECH # B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183708",
"telephone_number": "787-754-0814",
"fax_number": "787-756-5823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTOMETRICS PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2009-02-23",
"status": "A",
"authorized_official_last_name": "SUAREZ",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "787-754-0814",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PR",
"license": "193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "56757OP",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "puerto rico low vision center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.