Eyespot Vision Care Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYESPOT VISION CARE CORP

Practice address

B5 Ave El Conquistador
Fajardo, PR 00738

Phone

(786) 925-2342

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Mercedes G Gonzalez

Title

President

Phone

(786) 925-2342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizzette Maria Irizarry, O.D.

  • Optometrist
  • Manati, PR
  • NPI 1851540611
  Medicare reassignment NPD

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1861735367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SW 93 PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "786-925-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B5 AVE EL CONQUISTADOR",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "786-925-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESPOT VISION CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-925-2342"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecb Humacao
• Ecb Humacao LLC
• Idaliz Nicole Encarnacion, LCSW
• Mara L Estrada, MSW
• Expomedic Inc.
• F&M Radiologist, CSP
• Fajardo Home Care Program, Inc.
• Fajardo Imaging Inc
• Fajardo Integrated Medical Center
• Fajardo Medical LLC

• Optometrist in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.