Organization Active NPI

Good Vision

  • Eyewear Supplier
  • Fajardo, PR
National Provider Identifier
1841628328
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GOOD VISION
Practice address
15 Calle Garrido Morales W
Fajardo, PR 00738-4632
Phone
(787) 655-0400
NPI assigned
Oct 22, 2013
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Mr. Antonio MelendezNPI 1972746543
Title
Optician
Phone
(787) 655-0400

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 PR Primary

Addresses

Primary practice location

15 Calle Garrido Morales W
Fajardo, PR 00738-4632

Mailing address

15 Calle Garrido Morales W
Fajardo, PR 00738-4632
Phone (787) 655-0400

National Provider Directory

National Provider Directory

Locations

15 Calle Garrido Morales W
Fajardo, PR 00738
Phone (787) 655-0400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1841628328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALLE GARRIDO MORALES W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384632",
            "telephone_number": "787-655-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE GARRIDO MORALES W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384632",
            "telephone_number": "787-655-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "787-655-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.