Organization Active NPI

Lens Outlet

  • Eyewear Supplier
  • Ponce, PR
National Provider Identifier
1992157119
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LENS OUTLET
Practice address
Boulevard Luis a Ferre 2165
Ponce, PR 00717-0725
Phone
(787) 844-0346
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Lis J Torres-Medina, OP
Title
President/Owner
Phone
(787) 844-0346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 822 PR
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Boulevard Luis a Ferre 2165
Ponce, PR 00717-0725

Mailing address

Valle Verde
769 Calle Riachuelo
Ponce, PR 00716
Phone (787) 844-0346

Other identifiers 1

IdentifierTypeStateIssuer
037879001MedicaidPR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1992157119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE VERDE",
            "address_2": "769 CALLE RIACHUELO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-844-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOULEVARD LUIS A FERRE 2165",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170725",
            "telephone_number": "787-844-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENS OUTLET",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "TORRES-MEDINA",
        "authorized_official_first_name": "LIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "787-844-0346",
        "authorized_official_credential": "OP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "822",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037879001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.