I.G.Professional Optics, PSC.

Primary specialty

OptometristTaxonomy code 152W00000X

License

474 Issued in PR

Legal business name

I.G.PROFESSIONAL OPTICS, PSC.

Practice address

131 Ave Winston Churchill Ste a
Crown Hills
San Juan, PR 00926-6012

Phone

(787) 764-6589

Fax

(787) 758-1981

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivette Gonzalez, O.D.NPI 1750456109

Title

President/ Doctor

Phone

(787) 764-6589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Ivette Gonzalez, O.D.

  • Optometrist
  • San Juan, PR
  • NPI 1750456109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1265741060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 AVE WINSTON CHURCHILL STE A",
            "address_2": "CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266012",
            "telephone_number": "787-764-6589",
            "fax_number": "787-758-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 AVE WINSTON CHURCHILL STE A",
            "address_2": "CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266012",
            "telephone_number": "787-764-6589",
            "fax_number": "787-758-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.G.PROFESSIONAL OPTICS, PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "PRESIDENT/ DOCTOR",
        "authorized_official_telephone_number": "787-764-6589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hutima
• Hyde Park Medical Group PSC
• Hypnos Estudio de Sueno CSP
• I Designs
• I Plus I Medical Supplies
• Ian C. Marrero-Amadeo MD, LLC
• Jessica B. Ibarra, M.D.
• Idelvais M Pinero Melendez Obstetrics & Gynecology PSC
• Carlos E Ifarraguerri, M.D.
• Igd Medical Equipment, Corp.

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.