Active NPI
Ben Elohim
Doing business as Atlantis Optical
- Eyewear Supplier
- Carolina, PR
National Provider Identifier
1295067825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 332H00000X
- Legal business name
- BEN ELOHIM
- Doing business as
- Atlantis Optical
- Practice address
- Ave Monserrate
Insite Farmacia Puerta de Carolina
Carolina, PR 00985-5444 - Phone
- (787) 220-1414
- NPI assigned
- Feb 7, 2010
- 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
- Jose Baez
- Title
- President
- Phone
- (787) 220-1414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 332H00000X | PR | Primary |
Addresses
Primary practice location
Ave Monserrate
Insite Farmacia Puerta de Carolina
Carolina, PR 00985-5444
Mailing address
PO Box 8741
Carolina, PR 00988-8741
Phone (787) 220-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190715 | Other | PR | CORPORATE ID # |
Other names 1
- ATLANTIS OPTICAL
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265500800000",
"number": "1295067825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8741",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009888741",
"telephone_number": "787-220-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE MONSERRATE",
"address_2": "INSITE FARMACIA PUERTA DE CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009855444",
"telephone_number": "787-220-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEN ELOHIM",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-07",
"last_updated": "2010-02-07",
"status": "A",
"authorized_official_last_name": "BAEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-220-1414"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "PR",
"license": "332H00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE ID #",
"identifier": "190715",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ATLANTIS OPTICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.