Individual provider Active NPI

Jessica Linette Garcia Bayon, OD

  • Optometrist
  • Toa Baja, PR
National Provider Identifier
1609599422
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
760 Issued in PR
Practice address
254 Pabellon de Puerto Rico
Toa Baja, PR 00949-2246
Phone
(787) 942-5488
NPI assigned
Sep 26, 2022
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 760 PR Primary

Addresses

Primary practice location

254 Pabellon de Puerto Rico
Toa Baja, PR 00949-2246

Mailing address

254 Pabellon de Puerto Rico
Toa Baja, PR 00949-2246
Phone (787) 942-5488

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
I20230410001291 PR Practitioner - Optometry 1951776756 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
760PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. Current Accepting new patients
Multi Business Solutions CurrentSince Apr 1, 2023 Accepting new patients
Luxottica of America Inc CurrentSince Dec 13, 2022 Accepting new patients
Eye Vue Optical Optometrist CurrentSince Oct 2, 2022 Accepting new patients
Luxottica of America Inc. CurrentSince Dec 13, 2022 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

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

2050 Ponce Byp
Ponce, PR 00716
Phone (787) 259-9497

1607 Ave Ponce de Leon
Ste GM6
San Juan, PR 00909
Phone (787) 400-5671

Organizations & group practices 6

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1609599422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 PABELLON DE PUERTO RICO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492246",
            "telephone_number": "787-942-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 PABELLON DE PUERTO RICO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492246",
            "telephone_number": "787-942-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA BAYON",
        "first_name": "JESSICA",
        "middle_name": "LINETTE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.