Organization Active NPI

Visual Outlet & Optical Store

  • Optometrist
  • Aguadilla, PR
National Provider Identifier
1760699813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
236 Issued in PR
Legal business name
VISUAL OUTLET & OPTICAL STORE
Practice address
153 Ave Pedro Albizu Campos Ave.
Aguadilla, PR 00603-5724
Phone
(787) 891-4400
Fax
(787) 882-1059
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis F. Rivera, O.D.
Title
Vice President
Phone
(787) 891-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 236 PR Primary

Addresses

Primary practice location

153 Ave Pedro Albizu Campos Ave.
Aguadilla, PR 00603-5724

Mailing address

153 Ave Pedro Albizu Campos
Aguadilla, PR 00603-5724
Phone (787) 891-4400

National Provider Directory

National Provider Directory

Locations

153 Ave Pedro Albizu Campos
Aguadilla, PR 00603
Phone (787) 891-4400

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760699813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 AVE PEDRO ALBIZU CAMPOS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035724",
            "telephone_number": "787-891-4400",
            "fax_number": "787-882-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 AVE PEDRO ALBIZU CAMPOS AVE.",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035724",
            "telephone_number": "787-891-4400",
            "fax_number": "787-882-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL OUTLET & OPTICAL STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-891-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.