Organization Active NPI

Gladys Acevedo Dba Pearle Vision Center

  • Optometrist
  • Cayey, PR
National Provider Identifier
1932773348
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GLADYS ACEVEDO DBA PEARLE VISION CENTER
Practice address
Ave. Jesus T. Pineiro 4005
Perez Hnos. Plaza
Cayey, PR 00736
Phone
(787) 738-7120
Fax
(787) 738-7140
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PEARLE VISION CENTER CAYEY CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Mrs. Gladys Acevedo
Title
President
Phone
(787) 738-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

Ave. Jesus T. Pineiro 4005
Perez Hnos. Plaza
Cayey, PR 00736

Mailing address

PO Box 372000
Cayey, PR 00737-2000
Phone (787) 738-7120

Other identifiers 1

IdentifierTypeStateIssuer
1104934884OtherPRNPI

National Provider Directory

National Provider Directory
Part of
Gladys Acevedo

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1932773348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372000",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372000",
            "telephone_number": "787-738-7120",
            "fax_number": "787-738-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. JESUS T. PINEIRO 4005",
            "address_2": "PEREZ HNOS. PLAZA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-7120",
            "fax_number": "787-738-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS ACEVEDO DBA PEARLE VISION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEARLE VISION CENTER CAYEY CORP.",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-738-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104934884",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.