Family Optical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

299 Issued in PR

Legal business name

FAMILY OPTICAL CENTER

Doing business as

Family Vision Center

Practice address

321 Ave Casto Perez
Plaza del Oeste Shopping Center
San German, PR 00683-4700

Phone

(787) 892-3450

Fax

(787) 892-3450

NPI assigned

Nov 2, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Santa Irene Roman, D.O.

Title

Owner

Phone

(787) 892-3450

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• FAMILY VISION CENTER Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelvin Santos Roman, OD

  • Optometrist
  • Guayama, PR
  • NPI 1114431509
  NPD (past)
• Wilson J. Soto, OPTOMETRIST

  • Optometrist
  • San German, PR
  • NPI 1902966187
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598756165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 AVE CASTO PEREZ",
            "address_2": "PLAZA DEL OESTE SHOPPING CENTER",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834700",
            "telephone_number": "787-892-3450",
            "fax_number": "787-892-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 AVE CASTO PEREZ",
            "address_2": "PLAZA DEL OESTE SHOPPING CENTER",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834700",
            "telephone_number": "787-892-3450",
            "fax_number": "787-892-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "SANTA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-892-3450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "890153",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "052233",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED",
            "identifier": "215270",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jailene Marie Elizalde Padilla, MD
• Eric J Sambolin Morales LLC
• Esr Psychological Services LLC
• Exploring Together Therapy
• Mario Falletti, DMD
• Family Optical Center Inc. (Family Vision Center)
• Farmacia Belmonte, Inc.
• Farmacia Porta del Sol Corporation
• Farmacia Reparto
• Camila Cristal Feliciano Aviles, PHD

• Primary Care Clinic/Center in San German, PR
• Providers in San German, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.