Hojat Olah Zarkani, O.D.
Individual provider Active NPI Optometrist · Caguas, PR
NPI 1699716944 · NPPES record last updated Feb 24, 2015
Key facts
- NPI
- 1699716944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 511 (PR)
- Practice address
- Urb. Altos de la Fuente
Street#8 K-22
Caguas, PR 00727-7334 - Phone
- (787) 501-2288
- Fax
- (787) 716-4666
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040325000752 | PR | Practitioner - Optometry | 8426940560 |
Reassigns benefits to 1 organization Practice locations: Las Piedras, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 511 | PR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Medical Center | Current | Accepting new patients | |
| Great Vision, LLC | Optometrist | Current |
Accepting new patients |
| Ges de San Juan, Inc. | Past | Accepting new patients |
Locations
35 Calle Juan C Borbon
Ste 67
Guaynabo, PR 00969
Phone (787) 287-0353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 511 | PR | Yes |
Addresses
Primary practice location
Urb. Altos de la Fuente
Street#8 K-22
Caguas, PR 00727-7334
Mailing address
Urb. Altos de la Fuente
Street#8 K-22
Caguas, PR 00727-7334
Phone (787) 747-8761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54282ZA | Other | PR | TRIPLE-S |
| 215968 | Other | PR | PREFERRED HEALTH |
| 7710021 | Other | PR | HUMANA |
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.