Individual provider Active NPI

Angel Whatts, OD

  • Optometrist
  • Manati, PR
National Provider Identifier
1952399164
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
208 Issued in PR
Practice address
J12 Calle Elliot Velez
Atenas
Manati, PR 00674-4616
Phone
(787) 854-1551
Fax
(787) 884-3984
NPI assigned
Oct 11, 2005
Last updated
Sep 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 208 PR Primary

Addresses

Primary practice location

J12 Calle Elliot Velez
Atenas
Manati, PR 00674-4616

Mailing address

J12 Calle Elliot Velez
Atenas
Manati, PR 00674-4616
Phone (787) 854-1551

Other identifiers 1

IdentifierTypeStateIssuer
0297930001OtherSCPALMETTO GBA REGION C

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
I20101124000954 PR Practitioner - Optometry 9436345840

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

J12 Calle Elliot Velez
Urb. Atenas
Manati, PR 00674-4616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
208PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manati Visual Past Accepting new patients

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1952399164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J12 CALLE ELLIOT VELEZ",
            "address_2": "ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744616",
            "telephone_number": "787-854-1551",
            "fax_number": "787-884-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J12 CALLE ELLIOT VELEZ",
            "address_2": "ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744616",
            "telephone_number": "787-854-1551",
            "fax_number": "787-884-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATTS",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA REGION C",
            "identifier": "0297930001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.