BOULEVARD VISUAL CLINIC (NPI# 1821171109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821171109 |
| Entity Type | Organization |
| Organization Name | BOULEVARD VISUAL CLINIC |
| Practice Address |
Urb. Levittown Lakes Ee-10 Calle Jose S Alegria Toa Baja PR 00949-2718 |
| Mailing Address |
Po Box 50707 Toa Baja PR 00950-0707 |
| Practice Telephone | 7872615333 |
| Practice Fax Number | 7872615333 |
| Mailing Telephone | 7872615333 |
| Mailing Fax Number | 7872615333 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | MR. JOSE ANTONIO COTTO (PRESIDENTE) |
| Authorized Official Telephone | 7872615333 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 163611 | PR | Suppliers |
| Street Address |
URB. LEVITTOWN LAKES EE-10 CALLE JOSE S ALEGRIA |
| City | TOA BAJA |
| State | PR |
| Zip Code | 00949-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992242 | Medical Specialty Clinic LLC | Specialist | 1012 Ave Peter Agapito Ortiz, Levittown, Toa Baja, PR 00949 | 2020-11-03 |
| 1659978252 | Morovis Community Health Center Inc | Clinic/Center | Bo. Candelaria Sector Pajaros, Pr 863 Km 1.0, Toa Baja, PR 00949 | 2020-10-06 |
| 1871102368 | Amanda Nicole Nunez | Chiropractor | Condominio Lagoplaya Calle Coral 3000, Apt 3022, Toa Baja, PR 00949 | 2020-07-30 |
| 1811514888 | Francisco Lopez Perez | Naturopath | Calle Antonio Blanco Fn-10 6ta Seccion Levittown, Toa Baja, PR 00949 | 2020-06-25 |
| 1285257832 | Carlos Rodriguez Sr. | Social Worker | Urb. Altagracia Calle Pavo Real, K-32, Toa Baja, PR 00949 | 2020-05-18 |
| 1639799117 | Julio Alberto Crespo | Chiropractor | Calle #9 J12-a, Lagos De Plata, Toa Baja, PR 00949 | 2020-04-24 |
| 1548889157 | Alfredo Ramon Mayorca | General Practice | Urbanizacion El Plantio, Calle Majagua A-130, Toa Baja, PR 00949 | 2020-04-14 |
| 1528607769 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Ave Sabana Seca, Int 867, Toa Baja, PR 00949 | 2020-01-06 |
| 1215576392 | Adriana Elise Caro-gautier | Pharmacist | Principal Street, Km 1.3, Road 865 Campanilla, Toa Baja, PR 00949 | 2020-01-06 |
| 1730727652 | Maria Enid Baez | General Practice | Urb. La Mansion Camino De Velarde Nf-16, Toa Baja, PR 00949 | 2019-12-11 |
| Find all providers in zip 00949 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841611050 | R&c Optical Inc | Eyewear Supplier (Equipment, not the service) | Carr. 863, Km 1.2 Bo. Pajaros, Toa Baja, PR 00994-0000 | 2013-12-16 |
| 1659715720 | Optica L.m., Inc. | Eyewear Supplier (Equipment, not the service) | Carr 863 Km 1.2, Bo Pajaros, Toa Baja, PR 00949 | 2013-04-19 |
| 1083964043 | Walmart | Eyewear Supplier (Equipment, not the service) | Carr Pr 2 Interseccion Pr 165, Bo Media Luna, Toa Baja, PR 00949 | 2012-09-17 |
| 1750618922 | Iconos Vision | Eyewear Supplier (Equipment, not the service) | #610 Ave Comerio Carr. 167, Toa Baja, PR 00949-4067 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598352 | Ojo Bahia Inc | Eyewear Supplier (Equipment, not the service) | 501 Ave Andalucia, San Juan, PR 00920-4173 | 2020-11-02 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1295345494 | Chaimarie Diaz Gonzalez | Eyewear Supplier (Equipment, not the service) | 450 Calle Ferrocarril Ste 102, Ponce, PR 00717-4105 | 2020-08-03 |
| 1134742067 | Deo Pr Retail 2 LLC | Eyewear Supplier (Equipment, not the service) | 270 Pr-52, Caguas, PR 00725 | 2020-05-27 |
| 1669092508 | Tu Optica Dr. Reinaldo Manolo Vazquez | Eyewear Supplier (Equipment, not the service) | Ave. Universidad Interamericana 183 Centro Comercial, Local 106, Sangerman, PR 00683 | 2020-04-21 |
| 1255951257 | Sebastian Optical | Eyewear Supplier (Equipment, not the service) | Edificio Dr Colberg La 100 Km5.3, Cabo Rojo, PR 00623 | 2020-04-20 |
| 1962042150 | Glorimar Rivera | Eyewear Supplier (Equipment, not the service) | Calle 48 I#3 Royal Town, Bayamon, PR 00956 | 2020-01-15 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1477199313 | Opti-vision Center | Eyewear Supplier (Equipment, not the service) | Calle Jose M Toro Basora #4, Lajas, PR 00667 | 2019-11-26 |
| 1578111043 | Shalem Consumer Brands | Eyewear Supplier (Equipment, not the service) | Avenida JesÚs M. Fragoso, Carolina, PR 00983 | 2019-08-28 |
| 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.