Active NPI
Osvaldo Antonio Negron, O.D.
- Pediatric Optometrist
- Dorado, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- DA2217
- Practice address
- 30002 Valle del Amanecer
Valle Dorado
Dorado, PR 00646 - Phone
- (787) 855-1414
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 417 | PR | |
| Pediatric Optometrist | 152WP0200X | DA2217 | MD | Primary |
| Pediatric Optometrist | 152WP0200X | 4901004515 | MI |
Addresses
Primary practice location
30002 Valle del Amanecer
Valle Dorado
Dorado, PR 00646
Mailing address
PO Box 2069
Bayamon, PR 00960-2069
Phone (787) 590-9014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004515 | MI | MD | Pediatric Optometrist |
| 417 | PR | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
Locations
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931
920 Revolution St
Hvre de Grace, MD 21078
Phone (410) 939-2200
14700 Baltimore Ave
Unit 109
Laurel, MD 20707
Phone (301) 245-3903
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 3
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.
-
- Optometrist
- Waldorf, MD
- NPI 1609204437
-
- Optometrist
- Hagerstown, MD
- NPI 1063862571
-
- Optometrist
- Laurel, MD
- NPI 1972900058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1770575946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2069",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009602069",
"telephone_number": "787-590-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30002 VALLE DEL AMANECER",
"address_2": "VALLE DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-855-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRON",
"first_name": "OSVALDO",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "PR",
"license": "417",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MD",
"license": "DA2217",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MI",
"license": "4901004515",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.