Eyemart PR LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEMART PR LLC

Practice address

CC36 Calle Ceibas
Estancias de Rio Hondo III
Bayamon, PR 00961

Phone

(787) 798-3333

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Wilda Ivette Santiago, ODNPI 1679562052

Title

President

Phone

(787) 674-7749

Specialties & licenses 1

Addresses

Tax ID family

Eyemart PR LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eyemart PR LLC

  • Optometrist
  • Bayamon, PR
  • NPI 1528937372
  NPD tax ID

Practitioners 1

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

• Wilda Ivette Santiago, O.D.

  • Optometrist
  • Bayamon, PR
  • NPI 1679562052
  NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1942013669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE.CONDADO # 64",
            "address_2": "PLAZA DEL CONDADO APT.904",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-674-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CC36 CALLE CEIBAS",
            "address_2": "ESTANCIAS DE RIO HONDO III",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-798-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "WILDA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-674-7749",
        "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": [],
    "other_names": []
}

• Eye Contacts
• Eye MD Associates, CSP
• Eye Optical Boutique LLC
• Eyemart
• Eyemart PR LLC
• Ricardo Jose Fabre, M.D.
• Yesmin Fadul Paulino, MD
• Eduardo Fahme, MD
• Annette Falcon Chevere, PSY.D.
• Carlos R. Falcon-Camacho, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.