Organization Active NPI

Professional Optical Center

  • Technician/Technologist
  • Fajardo, PR
National Provider Identifier
1245377332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Legal business name
PROFESSIONAL OPTICAL CENTER
Practice address
Ave. Principal I-18
Urb. Baralt
Fajardo, PR 00738
Phone
(787) 860-0620
Fax
(787) 860-0620
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sarahi Rodriguez
Title
Manager
Phone
(787) 860-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156F00000X Primary

Addresses

Primary practice location

Ave. Principal I-18
Urb. Baralt
Fajardo, PR 00738

Mailing address

Ave. Principal I-18
Urb. Baralt
Fajardo, PR 00738
Phone (787) 860-0620

Other identifiers 9

IdentifierTypeStateIssuer
7380063OtherPRHUMANA HEALTH CARE
215122OtherPRPREFERRED HEALTH
5350OtherPRAMERICAN HEALTH
54279OtherPRDAVID VISION
ES57793OtherPRUIA
052207OtherPRCRUZ AZUL DE PR
101146OtherPRFIRST MEDICAL
992047OtherPRPREFERRED MEDICAL CHOICE
00138OtherPRVISION HEMISFERICA

National Provider Directory

National Provider Directory

Locations

I18 Calle Principal
Fajardo, PR 00738
Phone (787) 860-0620

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245377332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. PRINCIPAL I-18",
            "address_2": "URB. BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-0620",
            "fax_number": "787-860-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. PRINCIPAL I-18",
            "address_2": "URB. BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-0620",
            "fax_number": "787-860-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SARAHI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-860-0620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH CARE",
            "identifier": "7380063",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "215122",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "5350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID VISION",
            "identifier": "54279",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "ES57793",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PR",
            "identifier": "052207",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "101146",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL CHOICE",
            "identifier": "992047",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION HEMISFERICA",
            "identifier": "00138",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.