Active NPI
Fabian Valles, OPTICIAN
- Eyewear Supplier
- Bayamon, PR
National Provider Identifier
1992862015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Practice address
- Avenida Comerio CC33
Rio Hondo
Bayamon, PR 00961 - Phone
- (787) 269-7300
- Fax
- (787) 269-7300
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 343 | PR | |
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
Avenida Comerio CC33
Rio Hondo
Bayamon, PR 00961
Mailing address
2Q6 Calle 17
Mirador Bairoa
Caguas, PR 00727-1006
Phone (787) 703-4411
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 |
|---|---|---|---|
| 343 | PR | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecb Cayey Corp | Eyewear Supplier | Current | Accepting new patients |
| F M Eye Center Corp | Optician | Current | Accepting new patients |
| Mfe Vision | Optician | Current | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1992862015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2Q6 CALLE 17",
"address_2": "MIRADOR BAIROA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007271006",
"telephone_number": "787-703-4411",
"fax_number": "787-703-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA COMERIO CC33",
"address_2": "RIO HONDO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-269-7300",
"fax_number": "787-269-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLES",
"first_name": "FABIAN",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "343",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.