Organization Active NPI

Vista Family Eye Care, LLC

  • Optometrist
  • Naranjto, PR
National Provider Identifier
1649958448
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISTA FAMILY EYE CARE, LLC
Practice address
Edificio San Jose Ofic 202
Carr #5 KM 21.8 Bo Guadiana
Naranjto, PR 00719
Phone
(787) 854-1551
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Dr. Noelis Cintron, OD
Title
President
Phone
(787) 854-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Edificio San Jose Ofic 202
Carr #5 KM 21.8 Bo Guadiana
Naranjto, PR 00719

Mailing address

1769 Calle Budapest
San Juan, PR 00921-4331
Phone (787) 854-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230830002430 PR Part B Supplier - Clinic/Group Practice 3971966508 Receives reassigned benefits from 1 practitioner
Practice locations: Naranjito, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1649958448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 CALLE BUDAPEST",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214331",
            "telephone_number": "787-854-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO SAN JOSE OFIC 202",
            "address_2": "CARR #5 KM 21.8 BO GUADIANA",
            "city": "NARANJTO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-854-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "CINTRON",
        "authorized_official_first_name": "NOELIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-854-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.