Ed Bonano, OPTICO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

601 Issued in PR

Practice address

Z 974 Calle Bahunia Loiza Valley
Canovanas, PR 00729

Phone

(939) 644-5821

NPI assigned

May 22, 2020

Last updated

Jul 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abc Optika LLC

  • Ophthalmology Physician
  • Canovanas, PR
  • NPI 1023573458
  NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1295358380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Z 974 CALLE BAHUNIA LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "939-644-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Z 974 CALLE BAHUNIA LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "939-644-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANO",
        "first_name": "ED",
        "credential": "OPTICO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Lynette Berrios, D.M.D.
• Jan L Betancourt
• Better Choice Laboratories Corp (CDT Canovanas)
• Bienestar Integral Corp
• Bio-Medical Applications of Puerto Rico, Inc. (FMC Dialysis Services of Canovanas)
• Fernando Bordet Villa, M.D
• Mayra E Borrero, BD
• Alexandra Nikole Burgos Velez
• C&R Medical Services, PSC
• Amy Lee Cabrera, MD

• Optician in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Optician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; 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.