MY OPTICAL FACTORY LLC (NPI# 1518580943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518580943 |
| Entity Type | Organization |
| Organization Name | MY OPTICAL FACTORY LLC |
| Practice Address |
#61 Calle Garrido Morales W Fajardo PR 00738 |
| Mailing Address |
Po Box 1400 Fajardo PR 00738-1400 |
| Practice Telephone | 7878604090 |
| Practice Fax Number | 7878635515 |
| Mailing Telephone | 7878604090 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DR. CYNTHIA E VILLALOBOS (PRESIDENT) |
| Authorized Official Telephone | 7878604090 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | JM124 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 61 Ave. Isla Verde, Suite 3061, Carolina, PR 00979 | 7877274090 | 7879796090 |
| Street Address |
#61 CALLE GARRIDO MORALES W |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| 1124684543 | Laboratorio Clinico Y De Referencia Puerto Del Rey, LLC | Clinical Medical Laboratory | Urb Fajardo Gardens, 696 Calle Cipres, Fajardo, PR 00738 | 2019-05-10 |
| Find all providers in zip 00738 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013181783 | Diana I. Cruz Aleman | Optometrist | D54 Calle Cartagena, Urb Lago Alto, Trujillo Alto, PR 00976-4050 | 2008-04-14 |
| 1689865545 | Doris Margarita Antunez | Optometrist | Mg56 Plaza 31, Marina Bahia, Catano, PR 00962-6778 | 2007-08-06 |
| 1841492857 | Heriberto Vazquez Sanchez | Optometrist | Econo Mega I Expreso Trujillo Alto, Carr 181 Km 4.2 Bo Las Cuevas, Trujillo Alto, PR 00976 | 2007-06-01 |
| 1740335082 | Victor J. Quinones-colon | Optometrist | Ave Gautier Benitez 112, Esquina Jose Mercado, Caguas, PR 00725 | 2007-01-25 |
| 1659476976 | Luis O Aponte | Optometrist | Mansiones Reales, J-3, Paseo De La Reina St., Guaynabo, PR 00969 | 2006-09-13 |
| 1972551653 | Wanda Quinones | Optometrist | 975 Ave Hostos, Mayaguez, PR 00680-1261 | 2006-05-04 |
| 1518967900 | William Velez Ramos | Optometrist | Carr. 734 Km 0.6 Bo. Arenas, Cidra, PR 00739 | 2005-07-28 |
| 1174724967 | Magda V. Rubero Aponte | Optometrist | 19 Calle Munoz Rivera, Trujillo Alto, PR 00976-5932 | 2007-05-30 |
| 1356565493 | Rodmart Optical, Inc | Optometrist | 162 Ave Univ Interamericana, San German, PR 00683-4330 | 2007-04-12 |
| 1962626705 | Ettienne Lugo Delgado | Optometrist | Calle Luis Munoz Rivera 5, Camuy, PR 00627-0000 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.