Individual provider Active NPI

Jeannette Mas, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1932390424
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
379 Issued in PR
Practice address
Chalets de Cupey
Box 11
San Juan, PR 00926-4460
Phone
(787) 261-5547
Fax
(787) 261-4896
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 379 PR Primary

Addresses

Primary practice location

Chalets de Cupey
Box 11
San Juan, PR 00926-4460

Mailing address

Chalets de Cupey
Box 11
San Juan, PR 00926-4460
Phone (787) 261-5547

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
I20130410000227 PR Practitioner - Optometry 9032355409 Reassigns benefits to 1 organization
Practice locations: Cidra, PR; Canovanas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
379PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
20/20 Optical, Jeira Inc. Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Best Eye-Servicios Optometricos Optometrist PastSince Feb 21, 2013 Accepting new patients

Locations

52 Calle Rafael Lasa
Aguas Buenas, PR 00703
Phone (939) 717-3277

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, 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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1932390424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHALETS DE CUPEY",
            "address_2": "BOX 11",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264460",
            "telephone_number": "787-261-5547",
            "fax_number": "787-261-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHALETS DE CUPEY",
            "address_2": "BOX 11",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264460",
            "telephone_number": "787-261-5547",
            "fax_number": "787-261-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAS",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.