NPIMap

Organization Active NPI

J&F Optical Service Incorporated

Doing business as Eye Center Boutique

  • Optometrist
  • Dorado, PR
National Provider Identifier
1265978852
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
J&F OPTICAL SERVICE INCORPORATED
Doing business as
Eye Center Boutique
Practice address
B275 Carr 693
Doramar Plaza
Dorado, PR 00646
Phone
(787) 980-8008
NPI assigned
Jan 6, 2017
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Francis D Medina
Title
Owner/Vicepresident
Phone
(787) 782-2175

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Technician/Technologist 156F00000X NU
Optician 156FX1800X 1211 PR

Addresses

Primary practice location

B275 Carr 693
Doramar Plaza
Dorado, PR 00646

Mailing address

PO Box 7891
PMB 333
Guaynabo, PR 00970
Phone (787) 637-8688

Other practice location 1

Centro Gran Caribe Mall Suite 10
Carr 2 Km 29.7
Vega Alta, PR 00693
Phone (787) 883-4646

Other names 1

  • Eye Center Boutique Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190418002081 PR Part B Supplier - Clinic/Group Practice 8820339914 Receives reassigned benefits from 5 practitioners
Practice locations: Dorado, PR; Vega Alta, PR

National Provider Directory

National Provider Directory
Tax ID family
Ecb Vega Alta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1265978852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7891",
            "address_2": "PMB 333",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-637-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B275 CARR 693",
            "address_2": "DORAMAR PLAZA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-980-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Centro Gran Caribe Mall Suite 10",
            "address_2": "Carr 2 Km 29.7",
            "address_purpose": "LOCATION",
            "city": "Vega Alta",
            "state": "PR",
            "postal_code": "00693",
            "country_code": "US",
            "telephone_number": "787-883-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J&F OPTICAL SERVICE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/VICEPRESIDENT",
        "authorized_official_telephone_number": "787-782-2175"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "1211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Center Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.