Active NPI
Lennys Lopez Alicea
- Optician
- Juana Diaz, PR
National Provider Identifier
1972294106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 001477
- Practice address
- Calle Hostos
Esquina Calle Comercio Local 1B
Juana Diaz, PR 00795 - Phone
- (787) 580-7533
- NPI assigned
- May 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 001477 | PR | Primary |
Addresses
Primary practice location
Calle Hostos
Esquina Calle Comercio Local 1B
Juana Diaz, PR 00795
Mailing address
PMB 101 PO Box 94000
Corozal, PR 00783
Phone (787) 245-7450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001477 | PR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duvall Optical Lab LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Juana Diaz, PR
- NPI 1366131005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1972294106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 101 PO BOX 94000",
"city": "COROZAL",
"state": "PR",
"postal_code": "00783",
"telephone_number": "787-245-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE HOSTOS",
"address_2": "ESQUINA CALLE COMERCIO LOCAL 1B",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-580-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ ALICEA",
"first_name": "LENNYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "001477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.