Eyewear Shop LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEWEAR SHOP LLC

Practice address

Avenida Degetau A18
Bonnevile Terrace
Caguas, PR 00725

Phone

(787) 630-3025

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By 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

Ms. Carmen I OronaNPI 1962659102

Title

Optician

Phone

(787) 630-3025

Specialties & licenses 1

Addresses

Other names 1

• EYEWEAR SHOP Former legal business name

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.

• Carmen I Orona, 680

  • Optician
  • Toa Baja, PR
  • NPI 1962659102
  NPD Authorized official

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1285101998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 CALLE SANTA AGUEDA APT 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264119",
            "telephone_number": "787-630-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA DEGETAU A18",
            "address_2": "BONNEVILE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-630-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "ORONA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "787-630-3025",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEWEAR SHOP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Caguas, PR
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• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.