Vision 4 You Clinica Visual Dra. Feliciano CSP

Primary specialty

OptometristTaxonomy code 152W00000X

License

295003 Issued in PR

Legal business name

VISION 4 YOU CLINICA VISUAL DRA. FELICIANO CSP

Practice address

809 Carr. 153 Ste 7 Local Plaza
Bo. Paso Seco
Santa Isabel, PR 00757

Phone

(787) 845-5278

Fax

(787) 558-7034

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Helbert Roman

Title

Administrator

Phone

(787) 402-1906

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celiade Lourdes Feliciano, OD

  • Optometrist
  • Santa Isabel, PR
  • NPI 1134150618
  Medicare reassignment NPD

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1528224938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE LOIRE # 43 VILLA SERENA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-5278",
            "fax_number": "787-558-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CARR. 153 STE 7 LOCAL PLAZA",
            "address_2": "BO. PASO SECO",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-5278",
            "fax_number": "787-558-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION 4 YOU CLINICA VISUAL DRA. FELICIANO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "HELBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-402-1906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "295003",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "295-003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "295-003",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "58086",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilliam Vargas
• Vascular Nephrology Group PSC
• Marggie E Vazquez Bonilla, RN
• Edwin I Vazquez Camacho, CSW
• Amy Rubi Vera, PHARMD
• Wal-Mart Puerto Rico (Wal-Mart Pharmacy 10-3693)
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-3693)
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-3693)
• Wal-Mart Puerto Rico Inc (Vision Center 30-3693)
• Walgreen Co (Walgreens #15915)

• Optometrist in Santa Isabel, PR
• Providers in Santa Isabel, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.

Verify at the official NPI Registry.