Optometry Physician Services PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

512-024 Issued in PR

Legal business name

OPTOMETRY PHYSICIAN SERVICES PSC

Practice address

400 Calle Betances
Caguas, PR 00725-5200

Phone

(787) 746-0965

NPI assigned

Jun 28, 2018

Organization subpart

No

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

Authorized official

Name

Elsie Noemi De la Texera, ODNPI 1881677110

Title

Presidenta

Phone

(787) 312-9815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Elsie Noemi De la Texera Sr., OD

  • Optometrist
  • Carolina, PR
  • NPI 1881677110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1891280194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360949",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360949",
            "telephone_number": "787-312-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CALLE BETANCES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255200",
            "telephone_number": "787-746-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY PHYSICIAN SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "DE LA TEXERA",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "NOEMI",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-312-9815",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "512-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optica Lafont
• Optical Beautiful Eyes by Cely
• Optimal Cardiovascular Services LLC
• Optimal Medical Services
• Optimum Health Care
• Optopr2020 LLC
• Maria Oquendo del Toro
• Oral Rehab Specialists, Inc.
• Orchid Wellness Group LLC
• Iris V Orozco, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.