Active NPI
Optica Alta Vision
- Optician
- Toa Alta, PR
National Provider Identifier
1154596633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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 DirectoryLocations
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.