Optical Gallery

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OPTICAL GALLERY

Practice address

Expresso Trujillo Carrt 181 KM 4.0
Optical Gallery Econo Mega 1
Trujillo Alto, PR 00976

Phone

(787) 293-0915

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Javier Omar Vazquez

Title

Optico

Phone

(787) 293-0915

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1508049172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SIERRA BAYAMON",
            "address_2": "CALLE 73 BLQ 85#5",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-293-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXPRESSO TRUJILLO CARRT 181 KM 4.0",
            "address_2": "OPTICAL GALLERY ECONO MEGA 1",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-293-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OPTICO",
        "authorized_official_telephone_number": "787-293-0915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6-2002",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackimarie Nunez Vellon, PHARMD.
• Nyortiz, LLC
• Liliana Alexandra O'Neill Cubano, MS, OT/L
• Elsa Batista Ocasio, MD
• Priscilla Cancel Olmo
• Optik Group
• Lurmag Y Orta Gonzalez, MD
• Nancy Ivette Ortiz Davila, MD
• Zoe Ortiz Pedraza, MD
• Efrain Ortiz Rolon Sr.

• Clinical Medical Laboratory in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.