Individual provider Active NPI

Laura Marie Del Valle Perez, OD

  • Optometrist
  • Isabela, PR
National Provider Identifier
1730899543
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011709 Issued in IL
Practice address
3241 Ave Militar
Isabela, PR 00662-4091
Phone
(787) 830-9000
NPI assigned
Dec 2, 2022
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011709 IL Primary

Addresses

Primary practice location

3241 Ave Militar
Isabela, PR 00662-4091

Mailing address

3241 Ave Militar
Isabela, PR 00662-4091

Other practice location 1

7610 Roosevelt Rd Ste 5
Forest Park, IL 60130-2295
Phone (708) 366-9278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000923 PR Practitioner - Optometry 9335680347 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011709ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Mar 15, 2025 Accepting new patients
Optical Supercenter Arecibo Corp Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Vision One Corporation Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Migrant Health Center Western Region, Inc. Optometrist CurrentSince Mar 15, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Locations

88 Calle Cordoba
Aguadilla, PR 00603
Phone (787) 830-9000

3241 Ave Militar
Isabela, PR 00662
Phone (787) 827-8101

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1730899543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624091",
            "telephone_number": "787-830-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7610 Roosevelt Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "IL",
            "postal_code": "601302295",
            "country_code": "US",
            "telephone_number": "708-366-9278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL VALLE PEREZ",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.