Organization Active NPI

Optica Alta Vision

  • Optician
  • Toa Alta, PR
National Provider Identifier
1154596633
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
OPTICA ALTA VISION
Practice address
Carr. 829 KM 2.7 Bo. Pinas
Toa Alta, PR 00953
Phone
(787) 797-6978
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Ms. Marilliam Jorge
Title
Owner
Phone
(787) 797-6978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

Carr. 829 KM 2.7 Bo. Pinas
Toa Alta, PR 00953

Mailing address

200 Carr 829 Ste 5
Toa Alta, PR 00953-7945

National Provider Directory

National Provider Directory

Locations

200 Carr 829
Ste 5
Toa Alta, PR 00953

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1154596633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARR 829 STE 5",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009537945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 829 KM 2.7 BO. PINAS",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-797-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA ALTA VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "MARILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-797-6978",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.