Organization Active NPI

Eye Center Boutique Inc

  • Eyewear Supplier
  • Mayaguez, PR
National Provider Identifier
1679962906
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CENTER BOUTIQUE INC
Practice address
Mayguez Mall
Local #50
Mayaguez, PR 00680-1251
Phone
(787) 643-9250
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Dr. Francisco J. Cordero-Vargas, ODNPI 1508064478
Title
Delegated Official
Phone
(787) 617-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 276 PR
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Mayguez Mall
Local #50
Mayaguez, PR 00680-1251

Mailing address

83 Union St. Suite 129
Galerias Poncenas Mall
Ponce, PR 00730-3686
Phone (787) 643-9020

Other names 1

  • eye center boutique Inc Former legal business name

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1679962906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 UNION ST. SUITE 129",
            "address_2": "GALERIAS PONCENAS MALL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303686",
            "telephone_number": "787-643-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYGUEZ MALL",
            "address_2": "LOCAL #50",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801251",
            "telephone_number": "787-643-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "CORDERO-VARGAS",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "787-617-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "276",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eye center boutique Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.