Active NPI
Fashion Eyes Optical
- Eyewear Supplier
- San Juan, PR
National Provider Identifier
1386930261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 674
- Legal business name
- FASHION EYES OPTICAL
- Practice address
- San Jorge 357 Apt 301
Cond Las Teresas
San Juan, PR 00912-1241 - Phone
- (787) 324-5679
- NPI assigned
- Jun 20, 2011
- 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
- Miss Belen Maldonado
- Title
- Lic. Optician/ Ophthalmic Ass
- Phone
- (787) 324-5679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 674 | PR | Primary |
Addresses
Primary practice location
San Jorge 357 Apt 301
Cond Las Teresas
San Juan, PR 00912-1241
Mailing address
PO Box 10241
San Juan, PR 00908-1241
Phone (787) 324-5679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457669160 | Other | PR | 1457669160 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308528000000",
"number": "1386930261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10241",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009081241",
"telephone_number": "787-324-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN JORGE 357 APT 301",
"address_2": "COND LAS TERESAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009121241",
"telephone_number": "787-324-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASHION EYES OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A",
"authorized_official_last_name": "MALDONADO",
"authorized_official_first_name": "BELEN",
"authorized_official_title_or_position": "LIC. OPTICIAN/ OPHTHALMIC ASS",
"authorized_official_telephone_number": "787-324-5679",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "PR",
"license": "674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1457669160",
"identifier": "1457669160",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.