Individual provider Active NPI

Lourdes Del Pilar Cordero, OPTOMETRIST OD

  • Optometrist
  • Carolina, PR
National Provider Identifier
1912167206
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
541 Issued in PR
Practice address
Walmart Vision Center
Parque Escorial
Carolina, PR 00987
Phone
(787) 257-0500
Fax
(787) 257-0670
NPI assigned
Jun 11, 2008
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 541 PR Primary

Addresses

Primary practice location

Walmart Vision Center
Parque Escorial
Carolina, PR 00987

Mailing address

Tierralta II - 0-5 Las Aguilas St
Guaynabo, PR 00969
Phone (787) 403-7408

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
I20230324000616 PR Practitioner - Optometry 3870967342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toperbee CorporationGroup PAC ID 7517287048, 9 clinicians

Practice addresses (Care Compare)

Local C-124 Plaza Palma Real
Humacao, PR 00791
Phone (787) 850-0310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
541PRMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Toperbee Corporation Optometrist CurrentSince Feb 18, 2023 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Feb 18, 2023 Accepting new patients
Toperbee Corporation Optometrist Current Accepting new patients

Locations

9410 Ave Los Romeros
Ste 35A
San Juan, PR 00926
Phone (787) 653-2275

Interoperability endpoints

  • Direct secure messaging: lourdes.cordero@toperbee.emadirect.md

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1912167206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TIERRALTA II - 0-5 LAS AGUILAS ST",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-403-7408",
            "fax_number": "787-720-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALMART VISION CENTER",
            "address_2": "PARQUE ESCORIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-257-0500",
            "fax_number": "787-257-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "LOURDES",
        "middle_name": "DEL PILAR",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.