Jose D. Valles, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

144 Issued in PR

Practice address

Active Eyes, Plaza del Sol Mall, 725 W. Main Ave
Bayamon, PR 00961

Phone

(787) 740-1325

Fax

(787) 740-1325

NPI assigned

Sep 7, 2006

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Industrial Optics, Inc

  dba Active Eyes

  • Optometrist
  • Bayamon, PR
  • NPI 1831244482
  Authorized official Same address or phone

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1962505404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA DEL SOL MALL STE 1010",
            "address_2": "725 WEST MAIN AVE.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-740-1325",
            "fax_number": "787-740-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACTIVE EYES, PLAZA DEL SOL MALL, 725 W. MAIN AVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-740-1325",
            "fax_number": "787-740-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLES",
        "first_name": "JOSE",
        "middle_name": "D.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abel Valle Medina, M.D.
• Daniel Omar Valle, PHARMD
• Lilliam M Valle, RPH
• Luis E Valledor Maeso Sr., MD
• Fabian Valles, OPTICIAN
• Giovanni Valls, PHARMD
• Yessika Varela-Santos, PHD
• Zamalid Varela, MSPT
• Ricardo Andres Vargas Figueroa
• Josean Vargas Maisonet, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.