Rodmart Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RODMART OPTICAL INC

Practice address

162 Ave Univ Interamericana
San German, PR 00683-4330

Phone

(787) 264-3848

Fax

(787) 264-3848

NPI assigned

Mar 4, 2022

Organization subpart

Yes

Parent organization

RODMART OPTICAL, INCAs reported in NPPES

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

Authorized official

Name

Maria J Rodriguez, ODNPI 1689665838

Title

Secretary

Phone

(787) 264-3848

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CENTRO OFTALMICO Doing business as

Part of

Rodmart Optical Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rodmart Optical, Inc

  • Eyewear Supplier
  • San German, PR
  • NPI 1356565493
  NPPES parent name

Practitioners 1

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

• Maria Josefina Rodriguez, OD

  • Optometrist
  • San German, PR
  • NPI 1689665838
  NPD (past) Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1871240382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 AVE UNIV INTERAMERICANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834330",
            "telephone_number": "787-264-3848",
            "fax_number": "787-264-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 AVE UNIV INTERAMERICANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834330",
            "telephone_number": "787-264-3848",
            "fax_number": "787-264-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODMART OPTICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RODMART OPTICAL, INC",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-264-3848",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356565493",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO OFTALMICO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Antonio Rivera
• Larrissa Loraine Rivera, MA
• Pedro Luis Rivera, M.D.
• Sheila M Rivera
• Thaiz Rivera
• Rodmart Optical, Inc
• Celina Del Rosario Rodriguez Aponte
• Ilia I. Rodriguez Baez, PHD
• Caroline Rodriguez Ferrer, MD
• Ricardo Rodriguez Gonzalez, MSN

• Optometrist in San German, PR
• Providers in San German, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.