Organization Active NPI

Optica Mendez Inc. Dba Vistaoptic

  • Optician
  • San Juan, PR
National Provider Identifier
1225306145
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
308 Issued in PR
Legal business name
OPTICA MENDEZ INC. DBA VISTAOPTIC
Practice address
28 Calle San Edmundo
San Juan, PR 00927-6437
Phone
(787) 457-5727
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Pedro Cuellar
Title
Partner
Phone
(787) 457-5727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 308 PR Primary
Eyewear Supplier 332H00000X 308 PR

Addresses

Primary practice location

28 Calle San Edmundo
San Juan, PR 00927-6437

Mailing address

PO Box 367476
San Juan, PR 00936-7476
Phone (787) 457-5727

Other names 1

  • VistaOptic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1225306145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367476",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367476",
            "telephone_number": "787-457-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE SAN EDMUNDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276437",
            "telephone_number": "787-457-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA MENDEZ INC. DBA VISTAOPTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-457-5727"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "308",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": "308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VistaOptic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.