Active NPI
Optic Shop
- Eyewear Supplier
- San Juan, PR
National Provider Identifier
1255965794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- OPTIC SHOP
- Practice address
- 572 Calle Cesar Gonzalez
San Juan, PR 00918-3738 - Phone
- (787) 758-2404
- Fax
- (787) 764-4227
- NPI assigned
- Feb 24, 2020
- Last updated
- Feb 24, 2020
- 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
- Miss Vicente Alcaraz, MD
- Title
- Owner
- Phone
- (787) 758-2404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
572 Calle Cesar Gonzalez
San Juan, PR 00918-3738
Mailing address
PO Box 191168
San Juan, PR 00919-1168
Phone (787) 758-2404
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Ophthalmology Physician
- San Juan, PR
- NPI 1275522591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582502400000",
"number": "1255965794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191168",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191168",
"telephone_number": "787-758-2404",
"fax_number": "787-764-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 CALLE CESAR GONZALEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183738",
"telephone_number": "787-758-2404",
"fax_number": "787-764-4227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIC SHOP",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A",
"authorized_official_last_name": "ALCARAZ",
"authorized_official_first_name": "VICENTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-758-2404",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 24, 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.