Organization Active NPI

Ben Elohim

Doing business as Atlantis Optical

  • Eyewear Supplier
  • Carolina, PR
National Provider Identifier
1295067825
Registry record updated Feb 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
332H00000X Issued in PR
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

Updated by the provider on Feb 7, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
190715OtherPRCORPORATE ID #

Other names 1

  • ATLANTIS OPTICAL Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.