Organization Active NPI

Opti-Factory

  • Optician
  • Hato Rey, PR
National Provider Identifier
1770623456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
514 Issued in PR
Legal business name
OPTI-FACTORY
Practice address
Munoz Rivera #500 El Centro I Local 14B
Hato Rey, PR 00918
Phone
(787) 754-8615
Fax
(787) 754-8615
NPI assigned
Feb 8, 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
Mrs. Elsa I Lopez, OL
Title
Owner
Phone
(787) 754-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 514 PR Primary

Addresses

Primary practice location

Munoz Rivera #500 El Centro I Local 14B
Hato Rey, PR 00918

Mailing address

Munoz Rivera #500 El Centro I Local 14B
Hato Rey, PR 00918
Phone (787) 754-8615

Other identifiers 2

IdentifierTypeStateIssuer
CRUZ AZULOther051933
55288OtherSSS

National Provider Directory

National Provider Directory
Tax ID family
Opti Factory 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.

Locations

500 Munoz Rivera
Ste 14B
San Juan, PR 00918
Phone (787) 754-8615

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770623456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA #500 EL CENTRO I LOCAL 14B",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-754-8615",
            "fax_number": "787-754-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA #500 EL CENTRO I LOCAL 14B",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-754-8615",
            "fax_number": "787-754-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTI-FACTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-754-8615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OL"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "051933",
            "identifier": "CRUZ AZUL",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "55288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, 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.