Individual provider Active NPI

Angelique Vasquez, OD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1902427511
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004127 Issued in PA
Practice address
1000 Ross Park Mall Dr
Pittsburgh, PA 15237-3875
Phone
(412) 537-4671
NPI assigned
May 5, 2020
Last updated
Jul 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004127 PA Primary

Addresses

Primary practice location

1000 Ross Park Mall Dr
Pittsburgh, PA 15237-3875

Mailing address

143 45TH St
Pittsburgh, PA 15201-3007
Phone (503) 799-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20230728001808 AK Practitioner - Optometry 4587025150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004127PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince May 24, 2023 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince May 24, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: avasquez@direct.nshcorp.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1902427511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 45TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013007",
            "telephone_number": "503-799-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROSS PARK MALL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373875",
            "telephone_number": "412-537-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ANGELIQUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.