NPIMap

Organization Active NPI

New Vision Medical Diagnostic Optic

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1679876882
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEW VISION MEDICAL DIAGNOSTIC OPTIC
Practice address
Bayamon Medical Mall # J23
Bayamon, PR 00959-7200
Phone
(787) 778-5353
Fax
(787) 778-5302
NPI assigned
Dec 9, 2010
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW VISION MEDICAL DIAGNOSTIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Jose Vargas Rodriguez
Title
President
Phone
(787) 778-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Bayamon Medical Mall # J23
Bayamon, PR 00959-7200

Mailing address

Bayamon Medical Mall # J23
Bayamon, PR 00959-7200
Phone (787) 778-5353

National Provider Directory

National Provider Directory
Tax ID family
New Vision Medical Diagnostic LLC5 organizations share this tax ID, including this one
Part of
New Vision Medical Diagnostic LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1679876882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL MALL # J23",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL MALL # J23",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION MEDICAL DIAGNOSTIC OPTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW VISION MEDICAL DIAGNOSTIC INC",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "VARGAS RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-778-5353"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.