NPIMap

Organization Active NPI

Optica LM LLC

  • Eyewear Supplier
  • Carolina, PR
National Provider Identifier
1952176638
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICA LM LLC
Practice address
Villa Carolina Ave Roberto Clemente
115A2 Calle 73C
Carolina, PR 00985
Phone
(787) 750-4400
NPI assigned
Nov 22, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTICA LM LLC CAROLINAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Carol Maldonado
Title
President
Phone
(939) 640-0376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Villa Carolina Ave Roberto Clemente
115A2 Calle 73C
Carolina, PR 00985

Mailing address

Las Palmas de Cerro Gordo 144
Vega Alta, PR 00692

Other names 1

  • OPTICA LM LLC CAROLINA Other name

National Provider Directory

National Provider Directory
Tax ID family
Optica LM LLC4 organizations share this tax ID, including this one
Part of
Optica LM LLC

Other organizations with this tax ID 3

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

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": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1952176638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS PALMAS DE CERRO GORDO 144",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA CAROLINA AVE ROBERTO CLEMENTE",
            "address_2": "115A2 CALLE 73C",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-750-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA LM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTICA LM LLC CAROLINA",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-640-0376"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTICA LM LLC CAROLINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.