Individual provider Active NPI

Hiram Olmeda, OPTICO

  • Optician
  • Humacao, PR
National Provider Identifier
1972600534
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
488 Issued in PR
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

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
488PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hiram Optical LLC Eyewear Supplier CurrentSince May 16, 2021 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.

Verify at the official NPI Registry.