Loraine J Franco Lopez, 1439 OPTICO

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1439 Issued in PR

Practice address

Urb Santa Marta Calle Principal Casa 27
Juana Diaz, PR 00795

Phone

(787) 610-4181

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1003564634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 4971",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669887",
            "telephone_number": "939-273-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA MARTA CALLE PRINCIPAL CASA 27",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-610-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCO LOPEZ",
        "first_name": "LORAINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "1439 OPTICO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1439",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.