Organization Active NPI

Innova Optica Dos

  • Eyewear Supplier
  • Cayey, PR
National Provider Identifier
1265046643
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
INNOVA OPTICA DOS
Practice address
Carr 1 KM 56.7
Cayey, PR 00736
Phone
(787) 535-0315
Fax
(787) 535-0316
NPI assigned
Sep 3, 2020
Organization subpart
Yes
Parent organization
EYE OPTICAL SERVICES AND MANAGEMENT GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Omar Rolon Rodriguez
Title
Owner
Phone
(787) 535-0315

Specialties & licenses 2

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

Addresses

Primary practice location

Carr 1 KM 56.7
Cayey, PR 00736

Mailing address

PO Box 2058
Aibonito, PR 00705-2058
Phone (787) 535-0315

Other names 1

  • INNOVA OPTICA DOS Doing business as

National Provider Directory

National Provider Directory
Part of
Innova Optica Dos

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1265046643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2058",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052058",
            "telephone_number": "787-535-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 1 KM 56.7",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-535-0315",
            "fax_number": "787-535-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA OPTICA DOS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE OPTICAL SERVICES AND MANAGEMENT GROUP INC",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "ROLON RODRIGUEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-535-0315"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVA OPTICA DOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.