Melissa Erazo, OPT

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1326 Issued in PR

Practice address

Carr. 167 Urb. Riverview
Calle#36 Za-19
Bayamon, PR 00957

Phone

(787) 780-3969

Fax

(787) 780-3969

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1659921591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 68920",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126125",
            "telephone_number": "787-815-0169",
            "fax_number": "787-815-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 167 URB. RIVERVIEW",
            "address_2": "CALLE#36 ZA-19",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-780-3969",
            "fax_number": "787-780-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERAZO",
        "first_name": "MELISSA",
        "credential": "OPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.