Organization Active NPI

Optica Prisma

  • Optometrist
  • Anasco, PR
National Provider Identifier
1912653122
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTICA PRISMA
Practice address
PR 402 KM 2.9 Barrio Quebrada Larga
Valley Hills Professional Center Suite 11
Anasco, PR 00610
Phone
(787) 918-1749
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Dr. Karina Michelle Mercado, OD
Title
President
Phone
(787) 918-1749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

PR 402 KM 2.9 Barrio Quebrada Larga
Valley Hills Professional Center Suite 11
Anasco, PR 00610

Mailing address

205 Oeste Calle de la Candelaria
Mayaguez, PR 00682
Phone (787) 918-1749

Other names 1

  • Optica Prisma Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL computer

National Provider Directory

National Provider Directory

Locations

205 Calle de la Candelaria
Mayaguez, PR 00682

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1912653122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OESTE CALLE DE LA CANDELARIA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-918-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 402 KM 2.9 BARRIO QUEBRADA LARGA",
            "address_2": "VALLEY HILLS PROFESSIONAL CENTER SUITE 11",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-918-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA PRISMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "KARINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-918-1749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "CARR PR 402 KM 2.9 BARRIO QUEBRADA LARGA",
            "address_2": "Valley Hills Proffesina Center",
            "city": "Anasco",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Optica Prisma",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Optica Prisma",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.