MEDICARE: EYEGLASSES SHOP

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	261QH0100X	Health Service Clinic/Center
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1104626779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYEGLASSES SHOP

Provider Business Mailing Address
First Line	:	LAS LOMAS PROFESSIONAL CENTER LOCAL 16
Second Line	:	AVE JESUS T. PINEIRO ESQ AVE SAN PATRICIO
City	:	SAN JUAN
State	:	PR
Zip	:	00921-9998
Country	:	US
Telephone Number	:	939-449-6527
Fax Number	:

Provider Business Practice Location Address
First Line	:	LAS LOMAS PROFESSIONAL CENTER LOCAL 16
Second Line	:	AVE JESUS T. PINEIRO ESQ AVE SAN PATRICIO
City	:	SAN JUAN
State	:	PR
Zip	:	00921-9998
Country	:	US
Telephone Number	:	939-449-6527
Fax Number	:

Authorized Official
Title or Position	:	OPTICIAN
Name	:	RAMIRO REYES
Credential	:	LIC
Telephone Number	:	787-637-2793

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	07/24/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1487837704 — MR. CARLOS I ARROYO D.P.M, FACFAS
Practice Location Address:

1494 AVE ROOSEVELT , SUITE 101 CAPARRA HEIGHTS
SAN JUAN, PR
00921-9998

Practice Phone: 787-782-1453
Practice Fax: 787-273-1452

1073613535 — IGNACIO ARROYAVE MD
Practice Location Address:

FIRST FEDERAL BUIDG , 1056 AVE MUNOZ RIVERA SUITE 514
SAN JUAN, PR
00927-9998

Practice Phone: 787-717-6272
Practice Fax:

1508122094 — LITTLE MANHATTAN PEDIATRIC DENTISTRY,PLLC
Practice Location Address:

423 W. HIGHWAY 495
SAN JUAN, TX
78589-9998

Practice Phone: 956-537-6764
Practice Fax:

1245670785 — TRASLADOS MEDICOS DE PUERTO RICO
Practice Location Address:

PANAMERICAN DOC LOT A-1 , ISLA GRANDE AIRPORT
SAN JUAN, PR
00907-9998

Practice Phone: 787-756-3680
Practice Fax: 801-983-6052

1053770875 — PROGRAMA GRADUADO EN ODONOLOGIA GENERAL GPR
Practice Location Address:

MEDICAL SCIENCES CAMPUS DR. GUILLERMO ARBONA BUILDING , BARRIO MONACILLOS OFFICE A163 SAN JUAN, PUERTO RICO
SAN JUAN, PR
00936-9998

Practice Phone: 787-758-2525
Practice Fax: 787-641-1181

Directions to “EYEGLASSES SHOP ” 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 © 2007-2025 (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.