Active NPI
Christine Marie Mallens, OPTICIAN
- Optician
- Toa Alta, PR
National Provider Identifier
1700928678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 755
- Practice address
- 34 Calle Munoz Rivera
Toa Alta, PR 00953-2418 - Phone
- (787) 870-2960
- Fax
- (787) 870-7257
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 755 | PR | Primary |
Addresses
Primary practice location
34 Calle Munoz Rivera
Toa Alta, PR 00953-2418
Mailing address
J4 Calle 2
Alturas del Rio
Bayamon, PR 00959-8901
Phone (787) 402-3978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57871 | Other | PR | SSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 755 | PR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Nueva Optica | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700928678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "J4 CALLE 2",
"address_2": "ALTURAS DEL RIO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009598901",
"telephone_number": "787-402-3978",
"fax_number": "787-870-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 CALLE MUNOZ RIVERA",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009532418",
"telephone_number": "787-870-2960",
"fax_number": "787-870-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLENS",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "57871",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.