Ponce Vision Express

Primary specialty

OpticianTaxonomy code 156FX1800X

License

153 Issued in PR

Legal business name

PONCE VISION EXPRESS

Practice address

Avenida Juan Hernandez
Centro Comercial Coop#1
Isabela, PR 00662

Phone

(787) 872-2977

Fax

(787) 830-3216

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Rosa Caban, O.DNPI 1801853429

Title

Licensed Optician

Phone

(787) 872-2977

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen Rosa Caban, OPTICIAN LIC 153

  • Optician
  • Isabela, PR
  • NPI 1801853429
  NPD (past) Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1629266606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621429",
            "telephone_number": "787-872-2977",
            "fax_number": "787-830-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA JUAN HERNANDEZ",
            "address_2": "CENTRO COMERCIAL COOP#1",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-2977",
            "fax_number": "787-830-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE VISION EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "787-872-2977",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "051831",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLES",
            "identifier": "054595",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "583308262",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neftali Ponce
• Popular Vision
• Popular Vision Center LLC
• Jessica N. Portela Soto, M.D.
• Vanessa Maria Portilla, M.A.

• Optician in Isabela, PR
• Providers in Isabela, PR by specialty
• Optician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.