Vision Outlet LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

392241 Issued in PR

Legal business name

VISION OUTLET LLC

Practice address

216 Villa Universitaria
Villa Station
Humacao, PR 00791-3605

Phone

(787) 852-2470

Fax

(787) 285-8093

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juan R Gomez Lopez

Title

Presidente

Phone

(787) 852-2470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Marie Alsina Cardona, O.D.

  • Optometrist
  • San Juan, PR
  • NPI 1003995440
  Medicare reassignment NPD
• Brenda Marie Segarra Morales, OD

  • Optometrist
  • San Juan, PR
  • NPI 1386380087
  Medicare reassignment NPD
• Ana L Galva-Rodriguez

  • Ophthalmology Physician
  • Juncos, PR
  • NPI 1952330870
  Medicare reassignment
• Juan R Gomez, M.D.

  • Internal Medicine Physician
  • Yabucoa, PR
  • NPI 1578553079
  NPD
• Ivette Fontanez Ortiz

  • Health Educator
  • Humacao, PR
  • NPI 1407319304
  NPD (past)
• Caroline Lebron Rosa

  • Attendant Care Provider
  • Humacao, PR
  • NPI 1457814451
  NPD (past)
• Glorimar Montalvo

  • Health Educator
  • Humacao, PR
  • NPI 1942723234
  NPD (past)
• Karylin Raquel Vega Rivera

  • Social Worker
  • Humacao, PR
  • NPI 1356902332
  NPD (past)
• Jose Zavala

  • Optician
  • Humacao, PR
  • NPI 1437680253
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1750822573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE DUFRESNE E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913605",
            "telephone_number": "787-852-2470",
            "fax_number": "787-285-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 VILLA UNIVERSITARIA",
            "address_2": "VILLA STATION",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913605",
            "telephone_number": "787-852-2470",
            "fax_number": "787-285-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OUTLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ LOPEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-852-2470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "392241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael E Vicens, MD
• Yinayra Victoria, DMD, MMSC
• Briseida Villanueva, RCT
• Juan B Villavicencio, MD
• Anabel Villegas, LND
• Vision Works of Puerto Rico Inc
• Vista Optica LLC
• VVV Chiropractic LLC
• Wal-Mart Puerto Rico Inc (Vision Center 30-2240)
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2240)

• Health Service Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.