Organization Active NPI

J.M. Optical LLC

  • Eyewear Supplier
  • Bayamon, PR
National Provider Identifier
1750136974
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
J.M. OPTICAL LLC
Practice address
100 Paseo San Pablo Ste 402
Bayamon, PR 00961-7022
Phone
(787) 784-1900
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Jose R. Miranda Rivera, M. D.
Title
Owner
Phone
(787) 269-3715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

100 Paseo San Pablo Ste 402
Bayamon, PR 00961-7022

Mailing address

100 Paseo San Pablo Ste 402
Bayamon, PR 00961-7022
Phone (787) 784-1900

National Provider Directory

National Provider Directory

Locations

100 Paseo San Pablo
Ste 402
Bayamon, PR 00961
Phone (787) 269-3715

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": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1750136974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO STE 402",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617022",
            "telephone_number": "787-784-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO STE 402",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617022",
            "telephone_number": "787-784-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.M. OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "MIRANDA RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-269-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.