Bog Group Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BOG GROUP CORP

Practice address

Carr 693 KM 8.0
Dorado del Mar Shopping Center
Dorado, PR 00646

Phone

(787) 796-1000

Fax

(787) 796-0000

NPI assigned

Feb 13, 2019

Last updated

Jul 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Fernando Simoni

Title

President/Owner

Phone

(516) 639-3029

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1912463175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CALLE 693",
            "address_2": "PMB 218",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-796-1000",
            "fax_number": "787-796-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 693 KM 8.0",
            "address_2": "DORADO DEL MAR SHOPPING CENTER",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-796-1000",
            "fax_number": "787-796-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOG GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "SIMONI",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-639-3029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.