Vista Clinica Visual, LLC
NPI 1508339722ActiveOrganization· Optometrist· Coto Laurel, PR
Optometrist in Coto Laurel, Puerto Rico, registered in NPPES in January 2019. The authorized official on file is Niviana A. Yambo-Mercado, OD, President.
Overview
| NPI | 1508339722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2019 |
| Last updated in NPPES | Oct 28, 2021 |
| Certified by provider | Oct 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Pediatrics | 152WP0200X | — | — |
| Optometrist, Vision Therapy | 152WV0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Coto Laurel
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