Active NPI
Herbert De Jesus, O.D.
- Optometrist
- Ponce, PR
National Provider Identifier
1992885420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 326
- Practice address
- 2939 Ave Emilio Fagot Ste 2
Ponce, PR 00716-3656 - Phone
- (787) 842-7033
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 326 | PR | Primary |
Addresses
Primary practice location
2939 Ave Emilio Fagot Ste 2
Ponce, PR 00716-3656
Mailing address
PO Box 9386
Caguas, PR 00726-9386
Phone (787) 653-2275
Other practice location 1
16 Carr 3 # Local16A
Guayama, PR 00784-6804
Phone (787) 866-1660
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glasses Optical Incorporado | Optometrist | Current | Accepting new patients |
| Toperbee Corporation | Optometrist | Current | Accepting new patients |
| Toperbee Corporation | Optometrist | Current | Accepting new patients |
Locations
2939 Ave Emilio Fagot
Ste 2
Ponce, PR 00716
Phone (787) 842-7033
Interoperability endpoints
- herbert.dejesus@toperbee.emadirect.md
Organizations & group practices 3
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.
-
- Optometrist
- Ponce, PR
- NPI 1386216091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1992885420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9386",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007269386",
"telephone_number": "787-653-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 AVE EMILIO FAGOT STE 2",
"city": "PONCE",
"state": "PR",
"postal_code": "007163656",
"telephone_number": "787-842-7033"
}
],
"practiceLocations": [
{
"address_1": "16 Carr 3 # Local16A",
"address_purpose": "LOCATION",
"city": "Guayama",
"state": "PR",
"postal_code": "007846804",
"country_code": "US",
"telephone_number": "787-866-1660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS",
"first_name": "HERBERT",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.