Active NPI
Lens Outlet
- Eyewear Supplier
- Ponce, PR
National Provider Identifier
1992157119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037879001 | Medicaid | PR |
National Provider Directory
National Provider DirectoryNPI 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.