Individual provider Active NPI

Cynthia Nazario Lazo, O.D

  • Optometrist
  • Isabela, PR
National Provider Identifier
1831323328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
549 Issued in PR
Practice address
Carretera # 2 Barrio Galateo Bajo Km109.9
Plazo Bazo # 3
Isabela, PR 00662-2421
Phone
(787) 830-4393
Fax
(787) 830-4393
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 549 PR Primary

Addresses

Primary practice location

Carretera # 2 Barrio Galateo Bajo Km109.9
Plazo Bazo # 3
Isabela, PR 00662-2421

Mailing address

3 Isabela Beach Court 343
Isabela, PUERTO RICO 00662
UM
Phone (787) 528-4369

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
I20100414000373 PR Practitioner - Optometry 2466588959 Reassigns benefits to 1 organization
Practice locations: Isabela, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optica Clear Vision LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598054400000",
    "number": "1831323328",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3 ISABELA BEACH COURT 343",
            "city": "ISABELA",
            "state": "PUERTO RICO",
            "postal_code": "00662",
            "telephone_number": "787-528-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA # 2 BARRIO GALATEO BAJO KM109.9",
            "address_2": "PLAZO BAZO # 3",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622421",
            "telephone_number": "787-830-4393",
            "fax_number": "787-830-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO LAZO",
        "first_name": "CYNTHIA",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.