Organization Active NPI

JK Optical Inc.

  • Optician
  • Humacao, PR
National Provider Identifier
1538686605
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
JK OPTICAL INC.
Practice address
3 Carr Centro Comercial San Jose Local #13
Humacao, PR 00791
Phone
(787) 850-3124
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Kyriam Michelle Rios, OPTICO
Title
Presidenta
Phone
(787) 201-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X PR Primary

Addresses

Primary practice location

3 Carr Centro Comercial San Jose Local #13
Humacao, PR 00791

Mailing address

HC 1 Box 167691
Humacao, PR 00791-9073
Phone (787) 201-0524

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1538686605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 167691",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919073",
            "telephone_number": "787-201-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARR CENTRO COMERCIAL SAN JOSE LOCAL #13",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-850-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "KYRIAM",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-201-0524",
        "authorized_official_credential": "OPTICO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.