MEDICARE: FAMILY OPTICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	299	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	052233	OTHER	PR	CRUZ AZUL
2	890153	OTHER	PR	MMM
3	215270	OTHER	PR	PREFERRED

General Provider Information

NPI Number	:	1598756165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY OPTICAL CENTER

Provider Business Mailing Address
First Line	:	321 AVE CASTO PEREZ
Second Line	:	PLAZA DEL OESTE SHOPPING CENTER
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-4700
Country	:	US
Telephone Number	:	787-892-3450
Fax Number	:	787-892-3450

Provider Business Practice Location Address
First Line	:	321 AVE CASTO PEREZ
Second Line	:	PLAZA DEL OESTE SHOPPING CENTER
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-4700
Country	:	US
Telephone Number	:	787-892-3450
Fax Number	:	787-892-3450

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SANTA IRENE ROMAN
Credential	:	D.O.
Telephone Number	:	787-892-3450

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1841231180 — FAMILY OPTICAL CENTER INC.
Practice Location Address:

321 AVE CASTO PEREZ
SAN GERMAN, PR
00683-4700

Practice Phone: 787-892-3450
Practice Fax: 787-892-3430

1629027537 — DR. AMIR HOSSEIN NIKRAZ D.D.S.
Practice Location Address:

439 N EL CAMINO REAL , SUITE E
SAN CLEMENTE, CA
92672-4700

Practice Phone: 949-366-1177
Practice Fax: 949-366-1143

1225064603 — CANCER CARE NETWORK OF SOUTH TEXAS PA
Practice Location Address:

100 NE LOOP 410 , SUITE # 600
SAN ANTONIO, TX
78216-4700

Practice Phone: 210-242-6541
Practice Fax: 210-212-5136

1114934122 — WALGREEN CO
Practice Location Address:

6363 RITTIMAN RD
SAN ANTONIO, TX
78218-4700

Practice Phone: 210-666-4244
Practice Fax: 210-666-5759

1871631408 — AMIR NIKRAZ DDS, INC.
Practice Location Address:

439 N EL CAMINO REAL , SUITE # E
SAN CLEMENTE, CA
92672-4700

Practice Phone: 949-366-1177
Practice Fax: 949-366-1143

1952429607 — MR. EDWARDO CHAVELO WELDON CRNA
Practice Location Address:

34800 BOB WILSON DR
SAN DIEGO, CA
92134-4700

Practice Phone: 559-998-2648
Practice Fax:

Directions to “FAMILY OPTICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.