Organization Active NPI

Gladys Acevedo Dba Pearle Vision Center

  • Optometrist
  • Cayey, PR
National Provider Identifier
1104934884
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GLADYS ACEVEDO DBA PEARLE VISION CENTER
Doing business as
Gladys Acevedo DBA Pearle Vision Center
Practice address
Jesus T Pinero 4005
Perez Hermanos Plaza
Cayey, PR 00736
Phone
(787) 738-7120
Fax
(787) 738-7140
NPI assigned
Aug 25, 2006
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Mrs. Gladys Acevedo Latorre
Title
Owner
Phone
(787) 738-7120

Specialties & licenses 1

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

Addresses

Primary practice location

Jesus T Pinero 4005
Perez Hermanos Plaza
Cayey, PR 00736

Mailing address

PO Box 372000
Jesus T Pinero 4005 Perez Hermanos Plaza
Cayey, PR 00736
Phone (787) 738-7120

Other names 1

  • Gladys Acevedo DBA Pearle Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

4005 Ave Jesus T Pinero
Cayey, PR 00736
Phone (787) 738-5000

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1104934884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372000",
            "address_2": "JESUS T PINERO 4005 PEREZ HERMANOS PLAZA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-7120",
            "fax_number": "787-738-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JESUS T PINERO 4005",
            "address_2": "PEREZ HERMANOS PLAZA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-7120",
            "fax_number": "787-738-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS ACEVEDO DBA PEARLE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO LATORRE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-738-7120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladys Acevedo DBA Pearle Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.