Optical Illusion

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL ILLUSION

Practice address

Calle Central 85 Local 1
Coto Laurel, PR 00780

Phone

(787) 848-2394

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Loraine J Franco Lopez, 1439 OP

Title

Optical

Phone

(787) 848-2394

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1093450678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE CENTRAL 85 LOCAL 1",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "939-273-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CENTRAL 85 LOCAL 1",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-848-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ILLUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "FRANCO LOPEZ",
        "authorized_official_first_name": "LORAINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTICAL",
        "authorized_official_telephone_number": "787-848-2394",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "1439 OP"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Coto Laurel, PR
• Providers in Coto Laurel, 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 15, 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.