Active NPI
Nilda Vazquez, O.D.
- Optometrist
- San Lorenzo, PR
National Provider Identifier
1881739985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 462
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50666A | Other | PR | PMC MEDICARE CHOICE |
| 62168VA | Other | PR | TRIPLE S |
| 6606054461 | Other | PR | MEDICAL CARD SYSTEM MCS |
| 890251 | Other | PR | MEDICARE Y MUCHO MAS MMM |
| 5212 | Other | RI | AMERICAN 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Vision, LLC | Optometrist | Current | 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.
-
- Optometrist
- Bayamon, PR
- NPI 1609480961
-
- Eyewear Supplier
- Ponce, PR
- NPI 1285180414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.