Organization Active NPI

Optica LM LLC

  • Eyewear Supplier
  • Dorado, PR
National Provider Identifier
1689449365
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICA LM LLC
Practice address
410 Calle Mendez Vigo
Dorado, PR 00646-4800
Phone
(787) 278-0150
NPI assigned
Nov 22, 2023
Organization subpart
Yes
Parent organization
OPTICA LM LLC DORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Carol Maldonado
Title
President
Phone
(939) 640-0376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

410 Calle Mendez Vigo
Dorado, PR 00646-4800

Mailing address

Las Palmas de Cerro Gordo 144
Vega Alta, PR 00692
Phone (939) 640-0376

National Provider Directory

National Provider Directory
Tax ID family
Optica LM LLC4 organizations share this tax ID, including this one
Part of
Optica LM LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

410 Calle Mendez Vigo
Dorado, PR 00646
Phone (787) 278-0150

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1689449365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS PALMAS DE CERRO GORDO 144",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "939-640-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-278-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA LM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTICA LM LLC DORADO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-640-0376"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

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