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DR. JORGE L. BONILLA DAVILA O.D.
NPI 1053303289
Optometrist in Ponce, PR

Active since August 15, 2005PECOS Enrolled
2053 PONCE BY PASS, SUITE 104, PONCE, PR 00717(787) 848-2885(787) 848-4496 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2017, Dec 19, 2016 (2 updates tracked since 2016).

About Dr. Jorge L. Bonilla Davila O.d. NPPES

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

DR. JORGE L. BONILLA DAVILA O.D. (NPI 1053303289) is an individual optometrist in Ponce, Puerto Rico, licensed in Puerto Rico (149) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053303289
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JORGE L. BONILLA DAVILACredential: O.D.
Location Address2053 PONCE BY PASS, SUITE 104Ponce, PR 00717-1306
Mailing Address2053 Ponce By Pass, Suite 104Ponce, PR 00717-1306 · (787) 848-2885 · Fax (787) 848-4496
Phone(787) 848-2885
Fax(787) 848-4496
Sole ProprietorYes
Enumeration DateAugust 15, 2005
Last NPPES UpdateJanuary 26, 20172 updates tracked since enumeration
✔ NPI 1053303289 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 · 149
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.
2053 PONCE BY PASS, Ponce, PR 00717
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Other Identifiers 3

Medicare NSC1053303289PR
Medicaid1053303289PR
Medicare ID-Type Unspecified58049PR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Jorge L. Bonilla Davila O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 00717 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSE JUAN NUNEZ-ORTA DMD
Dentist
2053 PONCE BY PASS, EDIFICIO CENTRO CARIBE SUITE 202
PONCE, PR 00717
Ponce Municipio (787) 244-7410
OPTOMETRY WORLD PONCE
Clinic/Center (Primary Care)
2053 PONCE BY PASS, STE 104
PONCE, PR 00717
Ponce Municipio (787) 848-2885
DR. ARTURO LUIS BLANCO-PLARD DMD, MSD
Dentist (Prosthodontics)
2053 PONCE BY PASS, STE 202
PONCE, PR 00717
Ponce Municipio (787) 844-2522

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 Jorge Bonilla Davila's NPI number?

The NPI number for Jorge Bonilla Davila is 1053303289. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Jorge Bonilla Davila located?

Jorge Bonilla Davila practices at 2053 Ponce By Pass Suite 104, Ponce, PR 00717. The listed phone number is (787) 848-2885.

What is Jorge Bonilla Davila's specialty?

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

Is Jorge Bonilla Davila enrolled in Medicare?

Yes. Jorge Bonilla Davila is registered in the Medicare PECOS enrollment system.

What insurance does Jorge Bonilla Davila accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Jorge Bonilla Davila 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 Jorge Bonilla Davila was last updated on January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.