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ERNESTO SEPULVEDA OD
NPI 1013907518
Optometrist in Anasco, PR

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
33 CALLE VICTORIA, ANASCO, PR 00610(787) 826-6540(787) 826-6520 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ernesto Sepulveda Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERNESTO SEPULVEDA OD (NPI 1013907518) is an individual optometrist in Anasco, Puerto Rico, licensed in Puerto Rico (160) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (1985).

NPPES Registry Identity

NPI1013907518
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameERNESTO SEPULVEDACredential: OD
Location Address33 CALLE VICTORIAAnasco, PR 00610-2932
Mailing AddressPo Box 628Mayaguez, PR 00681-0628 · (787) 834-5809 · Fax (787) 826-6520
Phone(787) 826-6540
Fax(787) 826-6520
Sole ProprietorYes
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 1985
Enumeration DateOctober 26, 2005
Last NPPES UpdateSeptember 16, 2010
✔ NPI 1013907518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PR · 160
Definition
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.
33 CALLE VICTORIA, Anasco, PR 00610
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Other Identifiers 2

Medicare ID-Type UnspecifiedS8024PR
Medicare UPINT26866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ernesto Sepulveda Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880881671
PECOS Enrollment IDI20101206000795
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ernesto Sepulveda's NPI number?

The NPI number for Ernesto Sepulveda is 1013907518. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Ernesto Sepulveda located?

Ernesto Sepulveda practices at 33 Calle Victoria, Anasco, PR 00610. The listed phone number is (787) 826-6540.

What is Ernesto Sepulveda's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ernesto Sepulveda enrolled in Medicare?

Yes. Ernesto Sepulveda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ernesto Sepulveda accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ernesto Sepulveda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ernesto Sepulveda was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.