NPIMap

Organization Active NPI

Sams Club #6515

  • Eyewear Supplier
  • Punta Santiago, PR
National Provider Identifier
1760713804
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SAMS CLUB #6515
Practice address
Plaza Humacao
Carr #3 KM 82.0
Punta Santiago, PR 00741
Phone
(787) 285-8815
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Mr. Rene Pabon
Title
Retail Estrategic Business Director
Phone
(787) 653-8094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Plaza Humacao
Carr #3 KM 82.0
Punta Santiago, PR 00741

Mailing address

Plaza Humacao
Carr #3 KM 82.0
Punta Santiago, PR 00741
Phone (787) 285-8815

Other names 1

  • Sams Club Optica #6515 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network66 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1760713804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA HUMACAO",
            "address_2": "CARR #3 KM 82.0",
            "city": "PUNTA SANTIAGO",
            "state": "PR",
            "postal_code": "00741",
            "telephone_number": "787-285-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA HUMACAO",
            "address_2": "CARR #3 KM 82.0",
            "city": "PUNTA SANTIAGO",
            "state": "PR",
            "postal_code": "00741",
            "telephone_number": "787-285-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS CLUB #6515",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "PABON",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "RETAIL ESTRATEGIC BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "787-653-8094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sams Club Optica #6515",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Punta Santiago, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.