Active NPI
Hiram Olmeda, OPTICO
- Optician
- Humacao, PR
National Provider Identifier
1972600534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 488
- Practice address
- 14 Calle Antonio Lopez
Humacao, PR 00791-4224 - Phone
- (787) 460-4255
- Fax
- (787) 285-1250
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | |||
| Optician | 156FX1800X | 488 | PR | Primary |
Addresses
Primary practice location
14 Calle Antonio Lopez
Humacao, PR 00791-4224
Mailing address
PO Box 1
Humacao, PR 00792-0001
Phone (787) 460-4255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 488 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiram Optical LLC | Eyewear Supplier | Current | Accepting new patients |
Locations
14 Calle Antonio Lopez S
Humacao, PR 00791
Phone (787) 460-4255
14 Calle Antonio Lopez S
Humacao, PR 00791
Phone (787) 460-4255
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1972600534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007920001",
"telephone_number": "787-460-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CALLE ANTONIO LOPEZ",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007914224",
"telephone_number": "787-460-4255",
"fax_number": "787-285-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMEDA",
"first_name": "HIRAM",
"credential": "OPTICO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.