Active NPI
Ivelisse Oliveras, OD
- Optometrist
- Bayamon, PR
National Provider Identifier
1992822720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 429
- Practice address
- 1500 Ave Comerio Ste 1
Bayamon, PR 00961-3976 - Phone
- (787) 622-9462
- Fax
- (787) 787-1124
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 429 | PR | Primary |
Addresses
Primary practice location
1500 Ave Comerio Ste 1
Bayamon, PR 00961-3976
Mailing address
PO Box 3431
Guaynabo, PR 00970-3431
Phone (939) 940-1876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1500 Ave Comerio
Suite 1
Bayamon, PR 00961-3976
Phone (787) 622-9462
PO Box
Guaynabo, PR 00970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 429 | PR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1992822720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3431",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009703431",
"telephone_number": "939-940-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 AVE COMERIO STE 1",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009613976",
"telephone_number": "787-622-9462",
"fax_number": "787-787-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERAS",
"first_name": "IVELISSE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.