Duvall Optical Lab LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DUVALL OPTICAL LAB LLC

Practice address

Calle Hostos Esq Calle Comercio 1B
Juana Diaz, PR 00795

Phone

(787) 580-7533

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Iris C Sanchez, MD

Title

Owner

Phone

(787) 245-7450

Specialties & licenses 2

Addresses

Other names 1

• IRIS C SANCHEZ Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raul Andres Lopez

  • Optometrist
  • Kansas City, MO
  • NPI 1932688496

  PR

  Medicare reassignment NPD
• Lennys Lopez Alicea

  • Optician
  • Juana Diaz, PR
  • NPI 1972294106
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683936000000",
    "number": "1366131005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 101 PO BOX 94000",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-245-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HOSTOS ESQ CALLE COMERCIO 1B",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-580-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVALL OPTICAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-245-7450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRIS C SANCHEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carlos E. Dominguez, MD
• Dr Jose E Martinez Campos CSP
• Dr. Carlos a. Comas PSC
• Dr. Carlos a. Comas PSC
• Dra Yazmin Mojica-Arroyo, CSP
• Ismael Emmanuelli, DDS
• Empresas del Sur
• Robert Andrew Engel Rodriguez, MD
• Natalie Marie Engel
• Robert A Engel, MD

• Eyewear Supplier in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.