Vista Optica LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISTA OPTICA LLC

Practice address

Ave Padre Rivera #15
Humacao, PR 00791

Phone

(939) 303-3046

Fax

(939) 303-3076

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Cheryl Rodriguez, ODNPI 1154419992

Title

Opmetry Doctor

Phone

(939) 303-3046

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Cheryl Rodriguez, OD OPTOMETRY DOCTOR

  • Optometrist
  • Cayey, PR
  • NPI 1154419992
  Medicare reassignment NPD Authorized official
• Jose L Benitez Aponte, MD

  • Ophthalmology Physician
  • Humacao, PR
  • NPI 1972584878
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1669130332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUNRISE 29",
            "address_2": "SUNSET ST",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-922-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PADRE RIVERA #15",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "939-303-3046",
            "fax_number": "939-303-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA OPTICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OPMETRY DOCTOR",
        "authorized_official_telephone_number": "939-303-3046",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "url",
            "affiliation": "N",
            "address_1": "Ave Padre Rivera",
            "address_2": "#15",
            "city": "Humacao",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Briseida Villanueva, RCT
• Juan B Villavicencio, MD
• Anabel Villegas, LND
• Vision Outlet LLC
• Vision Works of Puerto Rico Inc
• VVV Chiropractic LLC
• Wal-Mart Puerto Rico Inc
• Wal-Mart Puerto Rico Inc
• Wal-Mart Puerto Rico Inc
• Walgreen Co

• Optometrist in Humacao, PR
• Providers in Humacao, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.