SERVICIOS OPTOMETRICOS CSP (NPI# 1063632305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063632305 |
| Entity Type | Organization |
| Organization Name | SERVICIOS OPTOMETRICOS CSP |
| Other Organization Name | CONSULTORIO OPTOMETRICO |
| Practice Address |
Carr. #2, Edificio B, Multiplaza Pr Suite #6 Bo. Caracol, Km. 143.3 Anasco PR 00610 |
| Mailing Address |
Po Box 628 Mayaguez PR 00681-0628 |
| Practice Telephone | 7878266540 |
| Practice Fax Number | 7878266520 |
| Mailing Telephone | 7878266540 |
| Mailing Fax Number | 7878266520 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ERNESTO SEPULVEDA (OWNER) |
| Authorized Official Telephone | 7878266540 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 160 | PR | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Consultorio Optometrico | Former Legal Business Name - Organization |
| Street Address |
CARR. #2, EDIFICIO B , MULTIPLAZA PR SUITE #6 BO. CARACOL, KM. 143.3 |
| City | ANASCO |
| State | PR |
| Zip Code | 00610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572601 | Tania Y Colon Vega | General Practice | Bo Pinales Carr 402 Km 5.7, Anasco, PR 00610 | 2020-09-15 |
| 1558971200 | Ingrid Brignoni Perez | Pharmacist | Bo Playa Carr 401 Km 0.9, Farmacia Tres Hermanos, Anasco, PR 00610 | 2020-08-07 |
| 1659980860 | Vital Emergency Response LLC | Ambulance | Street 402 Km 2.4 Interior Bo Quebrada Larga, Anasco, PR 00610 | 2020-07-24 |
| 1760008395 | West Spine Chiropractic | Clinic/Center | Carr #2 Km 153 Bo Guanajibo, Mayaguez, PR 00610 | 2020-06-19 |
| 1871129510 | Speech R' Us Corp. | Occupational Therapist | Edificion Bianca, Carr. 2, Km 14.3, Anasco, PR 00610 | 2020-03-13 |
| 1568097376 | Nelson Gabriel Castillo Rivera | Student in an Organized Health Care Education/Training Program | Bo. Carreras, Carr. 405, Km. 1.9, Anasco, PR 00610 | 2020-03-12 |
| 1245878701 | Lesley Arcelay Feliciano | Pharmacist | Carr 402 Km 2.9 Bo Quebrada Larga, Anasco, PR 00610 | 2019-12-16 |
| 1588210595 | Luis A Ferrer | Social Worker | Carr 402 Km 4.0, Bo Caracol, Anasco, PR 00610 | 2019-08-15 |
| 1164080552 | Raquel Tres Gonzalez Gonzalez | Pharmacy Technician | Carr 401 Km 0.9 Bo Playa, Mayaguez, PR 00610 | 2019-05-31 |
| 1528531746 | David Whitehouse | Radiology | Plaza Salcedo Suite 4, Carr 109 Km 2.5, Anasco, PR 00610 | 2019-01-10 |
| Find all providers in zip 00610 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447396452 | Mariem Rodriguez | Optometrist | Plaza Salcedo, Suite 104, Anasco, PR 00610 | 2007-01-29 |
| 1013907518 | Ernesto Sepulveda | Optometrist | 33 Calle Victoria, Anasco, PR 00610-2932 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263305 | Optik Optometry Group | Optometrist | Los Jardines Shopping Ctr, 130 Marginal Mtz Nadal, Guaynabo, PR 00969-0096 | 2020-10-22 |
| 1578170932 | Ecb Humacao LLC | Optometrist | Palma Real Shopping Center, Local 2, Humacao, PR 00791 | 2020-09-29 |
| 1699381590 | Optica Hernandez L.L.C. | Optometrist | 20 Ave Buena Vista, Morovis, PR 00687 | 2020-09-17 |
| 1255945309 | Roseline Larsen | Optometrist | 300 Ave La Sierra # 118m-24, San Juan, PR 00926-4330 | 2020-09-05 |
| 1609480961 | Great Vision, LLC | Optometrist | Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 | 2020-09-03 |
| 1376153684 | Pupila Optical LLC | Optometrist | El Molino Shopping Center Expreso Pr 54, Km 0.8, B11, Guayama, PR 00784 | 2020-08-03 |
| 1376151167 | 20/20 Optical, Jeira Inc. | Optometrist | Calle Rafael Laza #52, Aguas Buenas, PR 00703 | 2020-07-17 |
| 1962010876 | Optica Sur LLC | Optometrist | Portofino Plaza #2, Salinas, PR 00751 | 2020-07-16 |
| 1265059554 | Inter American University of Puerto Rico | Optometrist | 500 Carr Dr John W Harris, Bayamon, PR 00957-6257 | 2020-07-02 |
| 1427673383 | Salinas Optical Clinic Corporation | Optometrist | 64 Calle Baldorioty Esq Barbosa, Salinas, PR 00751 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.