Active NPI
Mfe Vision
- Clinic/Center
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MFE VISION
- Practice address
- 400 Calle Betances
Suite 480 Las Catalinas Mall
Caguas, PR 00725-5059 - Phone
- (787) 703-4411
- Fax
- (787) 703-4411
- NPI assigned
- Feb 10, 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
- Fabian Valles
- Title
- Owner
- Phone
- (787) 360-3006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 343 | PR | |
| Clinic/Center | 261Q00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
400 Calle Betances
Suite 480 Las Catalinas Mall
Caguas, PR 00725-5059
Mailing address
2Q6 Calle 17
Mirador Bairoa
Caguas, PR 00727-1006
Phone (787) 703-4411
Other names 1
- EYE CENTER BOUTIQUE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200813001255 | PR | Part B Supplier - Clinic/Group Practice | 3870857162 |
Receives reassigned benefits from 1 practitioner Practice locations: Caguas, PR |
National Provider Directory
National Provider DirectoryLocations
400 Calle Betances
Caguas, PR 00725
Phone (787) 653-2275
400 Calle Betances
Ste 480
Caguas, PR 00725
Phone (787) 703-4111
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1447556337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2Q6 CALLE 17",
"address_2": "MIRADOR BAIROA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007271006",
"telephone_number": "787-703-4411",
"fax_number": "787-703-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CALLE BETANCES",
"address_2": "SUITE 480 LAS CATALINAS MALL",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007255059",
"telephone_number": "787-703-4411",
"fax_number": "787-703-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MFE VISION",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-10",
"last_updated": "2024-03-20",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "VALLES",
"authorized_official_first_name": "FABIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-360-3006"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "343",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EYE CENTER BOUTIQUE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 20, 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.