NPIMap

Organization Active NPI

Condado Optical, LLC

  • Optometrist
  • San Juan, PR
National Provider Identifier
1679052773
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
537 Issued in PR
Legal business name
CONDADO OPTICAL, LLC
Practice address
1452 Ave Ashford
Cond Ada Ligia 1a
San Juan, PR 00907
Phone
(787) 636-8232
NPI assigned
Aug 9, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Mrs. Nilse M Vilar, ODNPI 1417275389
Title
Vice President
Phone
(787) 268-6099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 537 PR Primary

Addresses

Primary practice location

1452 Ave Ashford
Cond Ada Ligia 1a
San Juan, PR 00907

Mailing address

PO Box 1995
Guaynabo, PR 00970-1995
Phone (787) 636-8232

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1679052773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1995",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701995",
            "telephone_number": "787-636-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 AVE ASHFORD",
            "address_2": "COND ADA LIGIA 1A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-636-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDADO OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "VILAR",
        "authorized_official_first_name": "NILSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-268-6099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.