Healthcare Provider Details

I. General information

NPI: 1841145539
Provider Name (Legal Business Name): VISION WORLD BAYAMON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYAMON MARKETPLACE LOCAL 3 STATE ROAD PUERTO RICO 167 KM 0.3
BAYAMON PR
00959
US

IV. Provider business mailing address

8 CALLE BENITO FEIJOO URB VILLAS DEL ESTE
SAN JUAN PR
00926-6900
US

V. Phone/Fax

Practice location:
  • Phone: 787-237-0008
  • Fax: 787-731-5642
Mailing address:
  • Phone: 787-237-0008
  • Fax: 787-731-5642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: JOHANSEN O NEGRON LUGO
Title or Position: OWNER
Credential:
Phone: 787-237-0008