Mayaguez Optical Lab

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MAYAGUEZ OPTICAL LAB

Practice address

Calle Peral #14
Edificio la Palma Oficina 1a
Mayaguez, PR 00680-4913

Phone

(787) 834-2492

Fax

(787) 265-2190

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Kenneth L Vazquez Sr.

Title

Presidente

Phone

(787) 834-2492

Specialties & licenses 1

Addresses

Other names 1

• Sears Optica Doing business as

Tax ID family

Mayaguez Optical Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mayaguez Optical Laboratories, Inc.

  • Eyewear Supplier
  • Mayaguez, PR
  • NPI 1821489634
  NPD tax ID

Locations

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881683019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE PERAL #14",
            "address_2": "EDIFICIO LA PALMA OFICINA 1A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804913",
            "telephone_number": "787-834-2492",
            "fax_number": "787-265-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PERAL #14",
            "address_2": "EDIFICIO LA PALMA OFICINA 1A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804913",
            "telephone_number": "787-834-2492",
            "fax_number": "787-265-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAGUEZ OPTICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-834-2492",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sears Optica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mayaguez Nuclear Pet Center
• Mayaguez Nuclear Pet Center
• Mayaguez Optical Lab Inc
• Mayaguez Optical Laboratories, Inc.
• Mayaguez Orthopedics P S C
• Mayaguez Sport Medicine L L C
• Mayaguez Surgical Justiniano Suris

• Optometrist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.