Lens Optical Boutique Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LENS OPTICAL BOUTIQUE CORP

Practice address

1234 Paseo Las Monjitas
Ponce, PR 00728

Phone

(939) 270-1803

Fax

(787) 651-3289

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Zory Mary Feliciano GonzalezNPI 1205496692

Title

Optico

Phone

(939) 270-1803

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Zory Mary Feliciano Gonzalez, OPTICO

  • Optician
  • Ponce, PR
  • NPI 1205496692
  NPD (past) Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1821658949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8730",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328730",
            "telephone_number": "939-270-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 PASEO LAS MONJITAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "939-270-1803",
            "fax_number": "787-651-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENS OPTICAL BOUTIQUE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "FELICIANO GONZALEZ",
        "authorized_official_first_name": "ZORY",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OPTICO",
        "authorized_official_telephone_number": "939-270-1803"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "optica",
            "affiliation": "N",
            "address_1": "Paseo Las Monjitas 1234",
            "city": "ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariselis Lebron Rosado
• Magaly D. Lebron-Laboy
• Jorge Adrian Lebron-Mulero, M.D.
• Yudelsis Lechuga Perez
• Blanca Lefebre, MT
• Lens Outlet
• Jerry Luis Leon - Rodriguez, M.D.
• Nomar Alejandro Leon Espada
• Ruben Leon Guzman Sr., PSYD.
• Natalie Enid Leon Perez, PSYD

• Eyewear Supplier in Ponce, PR
• Providers in Ponce, 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 Jul 17, 2019; 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.