Designer Eyes of San Juan, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DESIGNER EYES OF SAN JUAN, INC.

Practice address

1000 Mall of San Juan Blvd Ste 140
San Juan, PR 00924-4071

Phone

(787) 490-0085

Fax

(954) 914-1480

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Jacky Amar

Title

Ceo

Phone

(954) 915-1474

Specialties & licenses 5

Addresses

Other names 1

• Designer Eyes Doing business as

Locations

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1407556335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SAWGRASS CORPORATE PKWY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256210",
            "telephone_number": "954-915-1474",
            "fax_number": "954-915-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MALL OF SAN JUAN BLVD STE 140",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244071",
            "telephone_number": "787-490-0085",
            "fax_number": "954-914-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER EYES OF SAN JUAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "AMAR",
        "authorized_official_first_name": "JACKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-915-1474"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "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": "Designer Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derma Medical Professional Corporation
• Dermanuelias
• Dermatology and Mohs Surgery Associates LLC
• Dermgroup LLC
• Designer Eyes
• Designer Eyes Pla LLC
• Debbie Suzanne Detres
• Jacqueline M Deval, O.D
• Norma A Devarie, MD
• Alexandra Deya Quinquilla, M.D.

• Eyewear Supplier in San Juan, PR
• Providers in San Juan, 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 Mar 8, 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.