Organization Active NPI

Eye Land Optical Inc

  • Contact Lens Technician/Technologist
  • Aguadilla, PR
National Provider Identifier
1093910952
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens Technician/TechnologistTaxonomy code 156FC0800X
License
14569 Issued in PR
Legal business name
EYE LAND OPTICAL INC
Practice address
Street 110 KM 0.3
Aguadilla, PR 00603
Phone
(787) 882-4189
Fax
(787) 882-0562
NPI assigned
Jun 19, 2007
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Dr. Raul E Lopez, M.D.
Title
Owner
Phone
(787) 882-4189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FC0800X 14569 PR Primary

Addresses

Primary practice location

Street 110 KM 0.3
Aguadilla, PR 00603

Mailing address

PO Box 250431
Aguadilla, PR 00604-0431
Phone (787) 882-4189

Other identifiers 1

IdentifierTypeStateIssuer
263899563MedicaidPR

Other names 1

  • Centro Oftalmologico Lopez y Optica Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1093910952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250431",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040431",
            "telephone_number": "787-882-4189",
            "fax_number": "787-882-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 110 KM 0.3",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-4189",
            "fax_number": "787-882-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE LAND OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-882-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "PR",
            "license": "14569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263899563",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Oftalmologico Lopez y Optica",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.