Active NPI
Clint B. Harper, O.D
- Optometrist
- Patillas, PR
National Provider Identifier
1851663769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 422
- Practice address
- 19A Riefkhol St
Patillas, PR 00723 - Phone
- (787) 839-3410
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 422 | PR | Primary |
Addresses
Primary practice location
19A Riefkhol St
Patillas, PR 00723
Mailing address
PO Box 192443
San Juan, PR 00919-2443
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181105002033 | PR | Practitioner - Optometry | 1658624887 | Practice locations: Patillas, PR; Salinas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 422 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740268800000",
"number": "1851663769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 192443",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009192443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19A RIEFKHOL ST",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-839-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "CLINT",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2025-02-23",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; 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.