Individual provider Active NPI

Nilda Vazquez, O.D.

  • Optometrist
  • San Lorenzo, PR
National Provider Identifier
1881739985
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
462 Issued in PR
Practice address
12 B San Lorenzo Shopping Center
Better Vision Optica
San Lorenzo, PR 00754
Phone
(787) 715-3744
Fax
(787) 715-3745
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 462 PR Primary

Addresses

Primary practice location

12 B San Lorenzo Shopping Center
Better Vision Optica
San Lorenzo, PR 00754

Mailing address

12 B San Lorenzo Shopping Center
Better Vision Optica
San Lorenzo, PR 00754
Phone (787) 715-3744

Other identifiers 5

IdentifierTypeStateIssuer
50666AOtherPRPMC MEDICARE CHOICE
62168VAOtherPRTRIPLE S
6606054461OtherPRMEDICAL CARD SYSTEM MCS
890251OtherPRMEDICARE Y MUCHO MAS MMM
5212OtherRIAMERICAN HELATH MEDICARE

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
I20160308001910 PR Practitioner - Optometry 4082910724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Vision, LLC Optometrist CurrentSince Jan 22, 2024 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

35 Calle Juan C Borbon
Ste 67
Guaynabo, PR 00969
Phone (787) 287-0353

Organizations & group practices 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1881739985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 B SAN LORENZO SHOPPING CENTER",
            "address_2": "BETTER VISION OPTICA",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-715-3744",
            "fax_number": "787-715-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 B SAN LORENZO SHOPPING CENTER",
            "address_2": "BETTER VISION OPTICA",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-715-3744",
            "fax_number": "787-715-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "NILDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC MEDICARE CHOICE",
            "identifier": "50666A",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "62168VA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM MCS",
            "identifier": "6606054461",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS MMM",
            "identifier": "890251",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HELATH MEDICARE",
            "identifier": "5212",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.