NPIMap

Organization Active NPI

Spirit Optical Inc

  • Optometrist
  • Toa Baja, PR
National Provider Identifier
1710129911
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
187395 Issued in PR
Legal business name
SPIRIT OPTICAL INC
Practice address
3274 Paseo Colina
Urb Levittown
Toa Baja, PR 00949-3123
Phone
(787) 630-5030
Fax
(787) 946-0503
NPI assigned
Apr 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Mrs. Madeline Melendez, LIC
Title
Licenciado Optico
Phone
(787) 630-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 187395 PR Primary

Addresses

Primary practice location

3274 Paseo Colina
Urb Levittown
Toa Baja, PR 00949-3123

Mailing address

3274 Paseo Colina
Urb Levittown
Toa Baja, PR 00949-3123
Phone (787) 630-5030

National Provider Directory

National Provider Directory
Tax ID family
Spirit Optical Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1710129911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 PASEO COLINA",
            "address_2": "URB LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493123",
            "telephone_number": "787-630-5030",
            "fax_number": "787-946-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 PASEO COLINA",
            "address_2": "URB LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493123",
            "telephone_number": "787-630-5030",
            "fax_number": "787-946-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "LICENCIADO OPTICO",
        "authorized_official_telephone_number": "787-630-5030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "187395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.