EYE CARE BOUTIQUE LLC
NPI 1083395867
Optometrist in Hatillo, PR

Q: What is Eye Care Boutique LLC's NPI number?

The NPI number for Eye Care Boutique LLC is 1083395867. It was assigned to this organization in the NPPES registry on July 26, 2023.

Q: What is Eye Care Boutique LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 26, 2023

CARR. 129 KM 9.1, HATILLO, PR 00659(787) 930-2035 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, Jul 26, 2023 (2 updates tracked since 2023).

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About Eye Care Boutique Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CARE BOUTIQUE LLC (NPI 1083395867) is a healthcare organization registered as an optometrist in Hatillo, Puerto Rico and active in the NPI registry since July 2023. The organization lists Adiannette Gonzalez Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1083395867

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEYE CARE BOUTIQUE LLC

Location AddressCARR. 129 KM 9.1Hatillo, PR 00659

Mailing AddressHc 5 Box 34600Hatillo, PR 00659-9798

Phone(787) 930-2035

Organization SubpartNo

Authorized OfficialAdiannette Gonzalez RodriguezOwner · (787) 930-2035

Enumeration DateJuly 26, 2023

Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1083395867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedEyewear SupplierTaxonomy 332H00000X

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Care Boutique Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye Care Boutique LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adiannette Gonzalez, O.D.

Optometry

NPI 1073842613

HC 5 BOX 34600
Hatillo, PR 00659

(787) 930-2035

✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Care Boutique LLC's NPI number?

The NPI number for Eye Care Boutique LLC is 1083395867. It was assigned to this organization in the NPPES registry on July 26, 2023.

Where is Eye Care Boutique LLC located?

Eye Care Boutique LLC is located at Carr. 129 Km 9.1, Hatillo, PR 00659. The listed phone number is (787) 930-2035.

What is Eye Care Boutique LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eye Care Boutique LLC enrolled in Medicare?

Yes. Eye Care Boutique LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Care Boutique LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eye Care Boutique LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eye Care Boutique LLC was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.