Optica Sur LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTICA SUR LLC

Practice address

Portofino Plaza #2
Salinas, PR 00751

Phone

(787) 944-9525

NPI assigned

Jul 16, 2020

Last updated

Jul 16, 2020By 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

Dr. Ricardo Gonzalez Lebron, ODNPI 1427372069

Title

Optometrist

Phone

(787) 944-9525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Ricardo Gonzalez-Lebron, O.D.

  • Optometrist
  • NPI 1427372069

  PR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1962010876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 URB TERRA DEL VALLE",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363245",
            "telephone_number": "787-674-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PORTOFINO PLAZA #2",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-944-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA SUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ LEBRON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-944-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Municipio de Salinas
• Alex Joel Nieves, MD
• Norlis Med Health Care Inc
• Oficina Dental Dra. Michelle Recio PSC
• Oficina Psicologa Norma I Velazquez, Inc.
• Janette Ortiz Rivera, MD
• Juan D. Ortiz Rivera, M.D.
• Noelia Ortiz-Aponte, DC
• Pedro Ortiz-Lara, M.D.
• Sheila Marie Ortolaza Ramos

• Optometrist in Salinas, PR
• Providers in Salinas, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.