Organization Active NPI

LT Optical Inc.

  • Optometrist
  • Humacao, PR
National Provider Identifier
1891918645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
253 Issued in PR
Legal business name
LT OPTICAL INC.
Practice address
353 Calle Font Martelo Ste 2
Humacao, PR 00791-3225
Phone
(787) 852-1155
Fax
(787) 852-1155
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Jose Totti
Title
President
Phone
(787) 852-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 253 PR Primary

Addresses

Primary practice location

353 Calle Font Martelo Ste 2
Humacao, PR 00791-3225

Mailing address

PO Box 192971
San Juan, PR 00919-2971
Phone (787) 852-1155

Other identifiers 6

IdentifierTypeStateIssuer
077126OtherPRCRUZ AZUL
4201OtherPRAMERICAN HEALTH MEDICARE
50590OtherPRPMC
58098TOOtherPRSSS
5-8098TOOtherPRMEDICARE OPTIMO
00080OtherPRVISION HEMISFERICA

National Provider Directory

National Provider Directory

Locations

353 Calle Font Martelo
Ste 2
Humacao, PR 00791
Phone (787) 852-1155

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891918645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192971",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192971",
            "telephone_number": "787-852-1155",
            "fax_number": "787-852-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CALLE FONT MARTELO STE 2",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913225",
            "telephone_number": "787-852-1155",
            "fax_number": "787-852-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LT OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOTTI",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-852-1155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "077126",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "4201",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50590",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "58098TO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMO",
            "identifier": "5-8098TO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION HEMISFERICA",
            "identifier": "00080",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • 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.