Organization Active NPI

Eyewear Market LLC

  • Optometrist
  • Caguas, PR
National Provider Identifier
1427532175
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEWEAR MARKET LLC
Practice address
Ab8 Calle Nebraska Urb Caguas Norte
Caguas, PR 00725
Phone
(787) 586-4179
NPI assigned
Sep 19, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Johana Rodriguez, ODNPI 1255640694
Title
Optometrist
Phone
(787) 586-4179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Ab8 Calle Nebraska Urb Caguas Norte
Caguas, PR 00725

Mailing address

Ab8 Calle Nebraska Urb Caguas Norte
Caguas, PR 00725
Phone (787) 586-4179

Other identifiers 1

IdentifierTypeStateIssuer
666OtherPROD LICENSE

National Provider Directory

National Provider Directory

Locations

AB8 Calle Nebraska
Caguas, PR 00725
Phone (787) 586-4179

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1427532175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AB8 CALLE NEBRASKA URB CAGUAS NORTE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-586-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AB8 CALLE NEBRASKA URB CAGUAS NORTE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-586-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR MARKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOHANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-586-4179",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "666",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.