Pro Vision Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PRO VISION OPTICAL INC

Practice address

Edificio Manuel 'Bundy' Jimenez Ave.
Victor Rojas Suite #3
Arecibo, PR 00612

Phone

(787) 854-9300

Fax

(787) 854-6639

NPI assigned

Mar 20, 2013

Last updated

Jan 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wilson Mendez Lugo, OP

Title

President/Owner

Phone

(787) 854-9300

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pro Vision Optical LLC

  • Optometrist
  • San German, PR
  • NPI 1720712565
  NPPES parent name
• Pro Vision Optical LLC

  • Optometrist
  • Caguas, PR
  • NPI 1811621659
  NPPES parent name
• Pro Vision Optical LLC

  • Optometrist
  • Manati, PR
  • NPI 1861126609
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ana Lourdes Hernandez, O.D.

  • Optometrist
  • San Juan, PR
  • NPI 1902956170
  Medicare reassignment NPD
• Jose R Nieto, OD

  • Optometrist
  • Aguadilla, PR
  • NPI 1700817145
  Medicare reassignment NPD
• Edwin Jemal Perez-del Pilar, O.D.

  • Optometrist
  • San Juan, PR
  • NPI 1912194598
  Medicare reassignment NPD
• Emi L Quinones, OD

  • Optometrist
  • San German, PR
  • NPI 1437479342
  Medicare reassignment NPD
• Javier M Ramirez Gonzalez, O.D.

  • Optometrist
  • San Juan, PR
  • NPI 1275516148
  Medicare reassignment NPD

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1770825531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-9300",
            "fax_number": "787-884-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MANUEL 'BUNDY' JIMENEZ AVE.",
            "address_2": "VICTOR ROJAS SUITE #3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-854-9300",
            "fax_number": "787-854-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MENDEZ LUGO",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "787-854-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OP"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "420",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.