Organization Active NPI

Insight Optical Manufacturing Company of Florida Inc

  • Optometrist
  • San Juan, PR
National Provider Identifier
1063542926
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46007637 Issued in IL
Legal business name
INSIGHT OPTICAL MANUFACTURING COMPANY OF FLORIDA INC
Practice address
Plaza Las Americas
San Juan, PR 00918
Phone
(787) 758-9096
Fax
(787) 758-3293
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Jose Costa
Title
Ceo
Phone
(305) 557-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 46007637 IL Primary

Addresses

Primary practice location

Plaza Las Americas
San Juan, PR 00918

Mailing address

3601 SW 160TH Ave Ste 400
Miramar, FL 33027-6312
Phone (305) 557-9004

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

525 Ave Fd Roosevelt
Unit 4
San Juan, PR 00918

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1063542926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276312",
            "telephone_number": "305-557-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-9096",
            "fax_number": "787-758-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT OPTICAL MANUFACTURING COMPANY OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-557-9004"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46007637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.