Organization Active NPI

Optica LM LLC

  • Eyewear Supplier
  • Bayamon, PR
National Provider Identifier
1457952699
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICA LM LLC
Practice address
Bayamon Medical Plaza 1845
Carr 2 Ste 501
Bayamon, PR 00959-9999
Phone
(939) 640-0376
NPI assigned
Nov 4, 2020
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Carol Maldonado
Title
President
Phone
(939) 640-0376

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Bayamon Medical Plaza 1845
Carr 2 Ste 501
Bayamon, PR 00959-9999

Mailing address

Palmas de Cerro Gordo 144
Calle Real G-35
Vega Alta, PR 00692

Other practice location 1

Villa Carolina Ave Roberto Clemente
115A2 Calle 73C
Carolina, PR 00985-0000
Phone (939) 640-0376

Other practice location 2

410 Calle Mendez Vigo
Dorado, PR 00646-4800
Phone (939) 640-0376

Other practice location 3

Carr 2 KM 39 HM 1
Bo Algarrobo
Vega Baja, PR 00693
Phone (939) 640-0376

Other practice location 4

Palmas de Cerro Gordo 144
Calle Real G-35
Vega Alta, PR 00692
Phone (939) 640-0376

National Provider Directory

National Provider Directory
Tax ID family
Optica LM LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1845 Carr 2
Ste 501
Bayamon, PR 00959
Phone (939) 640-0376

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1457952699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PALMAS DE CERRO GORDO 144",
            "address_2": "CALLE REAL G-35",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA 1845",
            "address_2": "CARR 2 STE 501",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009599999",
            "telephone_number": "939-640-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "VILLA CAROLINA AVE ROBERTO CLEMENTE",
            "address_2": "115A2 CALLE 73C",
            "address_purpose": "LOCATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009850000",
            "country_code": "US",
            "telephone_number": "939-640-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Calle Mendez Vigo",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "006464800",
            "country_code": "US",
            "telephone_number": "939-640-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CARR 2 KM 39 HM 1",
            "address_2": "BO ALGARROBO",
            "address_purpose": "LOCATION",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "country_code": "US",
            "telephone_number": "939-640-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PALMAS DE CERRO GORDO 144",
            "address_2": "CALLE REAL G-35",
            "address_purpose": "LOCATION",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "country_code": "US",
            "telephone_number": "939-640-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTICA LM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-640-0376"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.