Organization Active NPI

Mfe Vision

  • Clinic/Center
  • Caguas, PR
National Provider Identifier
1447556337
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Fabian VallesNPI 1992862015
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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813001255 PR Part B Supplier - Clinic/Group Practice 3870857162 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.