Optopr2020 LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTOPR2020 LLC

Practice address

Ave Munoz Marin
Ab-8
Caguas, PR 00725

Phone

(787) 998-6140

NPI assigned

Sep 11, 2024

Last updated

Oct 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariana Sofia Ruiz Rodriguez, ODNPI 1720724354

Title

President

Phone

(787) 998-6149

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariana Sofia Ruiz Rodriguez, OD

  • Optometrist
  • Bayamon, PR
  • NPI 1720724354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1396571881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367263",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367263",
            "telephone_number": "787-998-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ MARIN",
            "address_2": "AB-8",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-998-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOPR2020 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-20",
        "status": "A",
        "authorized_official_last_name": "RUIZ RODRIGUEZ",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-998-6149",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Caguas, PR
• Providers in Caguas, 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 Oct 22, 2024; 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.