Active NPI
Miriam Nelson
- Optician
- Isabela, PR
National Provider Identifier
1699005363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 856
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Popular Vision Center LLC | Current | 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.
-
- Health Service Clinic/Center
- Isabela, PR
- NPI 1215503636
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.