NPIMap

Organization Active NPI

For Eyes Optical of Puerto Rico, LLC

  • Eyewear Supplier
  • Isabela, PR
National Provider Identifier
1902617145
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
FOR EYES OPTICAL OF PUERTO RICO, LLC
Practice address
3535 Ave Militar Ste 193
Isabela, PR 00662-4046
Phone
(954) 205-3412
Fax
(855) 881-9434
NPI assigned
Jan 16, 2025
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Kim Griffin
Title
Sr Analyst
Phone
(954) 205-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

3535 Ave Militar Ste 193
Isabela, PR 00662-4046

Mailing address

4000 Luxottica PL
Attn Medicare Dept
Mason, OH 45040-8114
Phone (954) 205-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230104001121 PR Part B Supplier - Clinic/Group Practice 7517337785 Receives reassigned benefits from 7 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Juan, PR; Caguas, PR; Ponce, PR; Hatillo, PR; Isabela, PR; Bayamon, PR

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
For Eyes Optical of Puerto Rico LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

725 Ave West Main
Ste 600
Bayamon, PR 00961
Phone (787) 966-7473

200 Ave Rafael Cordero
Ste 106
Caguas, PR 00725
Phone (939) 332-7043

3535 Ave Militar
Ste 193
Isabela, PR 00662
Phone (787) 830-3004

Practitioners & affiliated clinicians

Practitioners 8

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": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1902617145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LUXOTTICA PL",
            "address_2": "ATTN MEDICARE DEPT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408114",
            "telephone_number": "954-205-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 AVE MILITAR STE 193",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624046",
            "telephone_number": "954-205-3412",
            "fax_number": "855-881-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL OF PUERTO RICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SR  ANALYST",
        "authorized_official_telephone_number": "954-205-3412"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.