Individual provider Active NPI

Walter Steve Ramirez-Pagan, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1598878290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
156 Issued in PR
Practice address
Xtra Shopping Center Local4
Avenida 65 de Infanteria
San Juan, PR 00924
Phone
(787) 274-0308
Fax
(787) 753-2200
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 156 PR Primary

Addresses

Primary practice location

Xtra Shopping Center Local4
Avenida 65 de Infanteria
San Juan, PR 00924

Mailing address

212 Calle Diez de Andino
Baldorioty Plaza 1501
San Juan, PR 00912-3445
Phone (787) 319-7523

Other identifiers 2

IdentifierTypeStateIssuer
55437 RAOtherPRTRIPLE S
101041OtherPRCRUZ AZUL

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
I20191106001111 PR Practitioner - Optometry 1153653415 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
156PRMDNuclear Medicine Technology Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. Current Accepting new patients
Luxottica of America Inc. CurrentSince May 19, 2019 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Jul 20, 2025 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Jul 20, 2025 Accepting new patients
Multivision-Barrio Obrero Optometrist Past Accepting new patients

Locations

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598878290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CALLE DIEZ DE ANDINO",
            "address_2": "BALDORIOTY PLAZA 1501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123445",
            "telephone_number": "787-319-7523",
            "fax_number": "787-753-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "XTRA SHOPPING CENTER LOCAL4",
            "address_2": "AVENIDA 65 DE INFANTERIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-274-0308",
            "fax_number": "787-753-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-PAGAN",
        "first_name": "WALTER",
        "middle_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "55437 RA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "101041",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.