M&M Optical Shop Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

M&M OPTICAL SHOP CORP

Practice address

Ave Los Romeros
The Outlet'S @ Montehiedra
San Juan, PR 00926

Phone

(787) 287-6700

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Francis D Medina

Title

Owner

Phone

(877) 625-9144

Specialties & licenses 2

Addresses

Other names 1

• ECB MONTEHIEDRA Doing business as

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1780277780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 333 P.O.BOX 7891",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-648-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LOS ROMEROS",
            "address_2": "THE OUTLET'S @ MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-287-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M OPTICAL SHOP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-625-9144"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECB MONTEHIEDRA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• M & P Radiologos, LLC
• Victoria Marie M Figueroa-Lozada
• M.R. Medical, P.S.C.
• M&G Anesthesia Services, PSC
• M&M Optical Shop Corp
• M&P Care at Home CSP
• M&R Physical Therapy L.L.C.
• M&V Medical LLC
• Mab Medical Services Inc
• Marjorie Iris Maccone Firpi, M.D.

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.