Individual provider Active NPI

Lines Moux-Davila, OD

  • Optometrist
  • Morovis, PR
National Provider Identifier
1831175439
Registry record updated Apr 23, 2013
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
265 Issued in PR
Practice address
26 Buena Vista St
Centro Visual Morovis
Morovis, PR 00687-3039
Phone
(787) 862-3278
Fax
(787) 862-6264
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 265 PR Primary

Addresses

Primary practice location

26 Buena Vista St
Centro Visual Morovis
Morovis, PR 00687-3039

Mailing address

PO Box 729
Morovis, PR 00687-0729
Phone (787) 862-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000200 PR Practitioner - Optometry 6608939210 Practice locations: Barceloneta, PR; Florida, PR; Morovis, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1831175439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006870729",
            "telephone_number": "787-862-3278",
            "fax_number": "787-862-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BUENA VISTA ST",
            "address_2": "CENTRO VISUAL MOROVIS",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873039",
            "telephone_number": "787-862-3278",
            "fax_number": "787-862-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUX-DAVILA",
        "first_name": "LINES",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.