NPIMap

Organization Active NPI

L'Ottica,Inc

  • Optometrist
  • Carolina, PR
National Provider Identifier
1558008995
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
L'OTTICA,INC
Practice address
Ave Fragosa Esq. Calle Fidalgo
Local 15 Plaza Carolina
Carolina, PR 00985
Phone
(787) 934-5060
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Perla Rosa Alicea, OD
Title
Presidenta
Phone
(787) 307-3546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Ave Fragosa Esq. Calle Fidalgo
Local 15 Plaza Carolina
Carolina, PR 00985

Mailing address

100 Calle Font Martelo W Ste 320
Humacao, PR 00791-3970
Phone (787) 307-3546

Other practice location 1

Carr 931 KM 5.6 Lote 56
Gurabo, PR 00778
Phone (787) 930-1686

Other identifiers 1

IdentifierTypeStateIssuer
1386750743MedicaidPR

National Provider Directory

National Provider Directory
Tax ID family
L'Otticainc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1558008995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE FONT MARTELO W STE 320",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913970",
            "telephone_number": "787-307-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FRAGOSA ESQ. CALLE FIDALGO",
            "address_2": "LOCAL 15 PLAZA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-934-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 931 KM 5.6 LOTE 56",
            "address_purpose": "LOCATION",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "country_code": "US",
            "telephone_number": "787-930-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "L'OTTICA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "PERLA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-307-3546",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386750743",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.