NPIMap

Organization Active NPI

Optica Real LLC

  • Eyewear Supplier
  • Corozal, PR
National Provider Identifier
1801529714
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICA REAL LLC
Practice address
Barrio Mavillas Carr 159 KM 16.7 #A3
Corozal, PR 00783
Phone
(787) 920-2080
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Marianela FredNPI 1982334892
Title
Gerente
Phone
(787) 430-5899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Barrio Mavillas Carr 159 KM 16.7 #A3
Corozal, PR 00783

Mailing address

Urb San Fernando Calle 15 C3
Bayamon, PR 00957
Phone (787) 920-2080

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1801529714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SAN FERNANDO CALLE 15 C3",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-920-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO MAVILLAS CARR 159 KM 16.7 #A3",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-920-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA REAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "FRED",
        "authorized_official_first_name": "MARIANELA",
        "authorized_official_title_or_position": "GERENTE",
        "authorized_official_telephone_number": "787-430-5899"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.