Individual provider Active NPI

Miriam Nelson

  • Optician
  • Isabela, PR
National Provider Identifier
1699005363
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
856 Issued in PR
Practice address
77 Calle Manuel Corchado Juarbe
Isabela, PR 00662-2973
Phone
(787) 872-5159
NPI assigned
Jan 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 856 PR Primary

Addresses

Primary practice location

77 Calle Manuel Corchado Juarbe
Isabela, PR 00662-2973

Mailing address

12 Calle Vicente Nieves
Isabela, PR 00662-3280
Phone (787) 872-4668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Popular Vision Center LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

77 Calle Manuel Corchado Juarbe
Isabela, PR 00662
Phone (787) 872-5159

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1699005363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CALLE VICENTE NIEVES",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623280",
            "telephone_number": "787-872-4668",
            "fax_number": "787-872-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE MANUEL CORCHADO JUARBE",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622973",
            "telephone_number": "787-872-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MIRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-01",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.