Organization Active NPI

F M Eye Center Corp

  • Eyewear Supplier
  • Guayama, PR
National Provider Identifier
1942795331
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
F M EYE CENTER CORP
Practice address
Plaza Guayama Local 2B Primer Nivel
Guayama, PR 00784
Phone
(787) 866-2196
Fax
(787) 866-2196
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Fabian VallesNPI 1992862015
Title
Owner
Phone
(787) 360-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 343 PR
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Plaza Guayama Local 2B Primer Nivel
Guayama, PR 00784

Mailing address

2Q6 Calle 17
Mirador Bairoa
Caguas, PR 00727-1006
Phone (787) 866-2196

Other names 1

  • EYE CENTER BOUTIQUE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209001638 PR Part B Supplier - Clinic/Group Practice 5698187045 Receives reassigned benefits from 1 practitioner
Practice locations: Guayama, PR

National Provider Directory

National Provider Directory

Locations

1995 Ave Los Veteranos
Guayama, PR 00784
Phone (787) 866-2196

1995 Ave Los Veteranos
Ste 2B
Guayama, PR 00784
Phone (787) 866-2196

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1942795331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2Q6 CALLE 17",
            "address_2": "MIRADOR BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271006",
            "telephone_number": "787-866-2196",
            "fax_number": "787-731-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA GUAYAMA LOCAL 2B PRIMER NIVEL",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-2196",
            "fax_number": "787-866-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F M EYE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "VALLES",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-360-3006"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "343",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CENTER BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.