Jose G Melendez

Primary specialty

OpticianTaxonomy code 156FX1800X

License

376 Issued in PR

Legal business name

JOSE G MELENDEZ

Doing business as

Eagle Optical

Practice address

Bo Lavadero Carr 2 KM 167-4
Edificio Mr Special
Hormigueros, PUERTO RICO 00660
UM

Phone

(787) 849-2936

Fax

(787) 849-2936

NPI assigned

Aug 5, 2007

Last updated

Jul 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose G Melendez, OD

Title

Owner

Phone

(787) 849-2939

Specialties & licenses 1

Addresses

Other names 1

• EAGLE OPTICAL Doing business as

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.

• Jose Gerardo Melendez-Negron, OD

  • Optician
  • Hormigueros, PR
  • NPI 1912052077
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1225229313",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "P O BOX 880",
            "city": "HORMIGUEROS",
            "state": "PUERTO RICO",
            "postal_code": "00660",
            "telephone_number": "787-849-2936",
            "fax_number": "787-849-2936"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "BO LAVADERO CARR 2 KM 167-4",
            "address_2": "EDIFICIO MR SPECIAL",
            "city": "HORMIGUEROS",
            "state": "PUERTO RICO",
            "postal_code": "00660",
            "telephone_number": "787-849-2936",
            "fax_number": "787-849-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE G MELENDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-849-2939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.