Organization Active NPI

Ecb Cayey Corp

Doing business as Eye Center Boutique

  • Clinic/Center
  • Cayey, PR
National Provider Identifier
1992402598
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ECB CAYEY CORP
Doing business as
Eye Center Boutique
Practice address
8000 Ave Jesus T Pinero
Suite 15 Plaza Cayey
Cayey, PR 00736-5578
Phone
(178) 792-4470
Fax
(787) 731-5642
NPI assigned
Feb 14, 2023
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Fabian VallesNPI 1992862015
Title
Owner
Phone
(787) 360-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Clinic/Center 261Q00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

8000 Ave Jesus T Pinero
Suite 15 Plaza Cayey
Cayey, PR 00736-5578

Mailing address

2Q6 Calle 17
Mirador de Bairoa
Caguas, PR 00727-1006
Phone (787) 924-4700

Other names 1

  • EYE CENTER BOUTIQUE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230422000398 PR Part B Supplier - Clinic/Group Practice 2860857083 Receives reassigned benefits from 1 practitioner
Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1992402598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2Q6 CALLE 17",
            "address_2": "MIRADOR DE BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271006",
            "telephone_number": "787-924-4700",
            "fax_number": "787-731-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 AVE JESUS T PINERO",
            "address_2": "SUITE 15 PLAZA CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007365578",
            "telephone_number": "178-792-4470",
            "fax_number": "787-731-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECB CAYEY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "VALLES",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-360-3006"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CENTER BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE CENTER BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.