Active NPI
Professional Optical Center
- Technician/Technologist
- Fajardo, PR
National Provider Identifier
1245377332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7380063 | Other | PR | HUMANA HEALTH CARE |
| 215122 | Other | PR | PREFERRED HEALTH |
| 5350 | Other | PR | AMERICAN HEALTH |
| 54279 | Other | PR | DAVID VISION |
| ES57793 | Other | PR | UIA |
| 052207 | Other | PR | CRUZ AZUL DE PR |
| 101146 | Other | PR | FIRST MEDICAL |
| 992047 | Other | PR | PREFERRED MEDICAL CHOICE |
| 00138 | Other | PR | VISION HEMISFERICA |
National Provider Directory
National Provider DirectoryLocations
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.