MY OPTICAL FACTORY LLC
NPI 1518580943
Optometrist - Corneal and Contact Management in Fajardo, PR

Active since May 20, 2020
#61 CALLE GARRIDO MORALES W, FAJARDO, PR 00738(787) 860-4090(787) 863-5515 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About My Optical Factory Llc NPPES

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

MY OPTICAL FACTORY LLC (NPI 1518580943) is a healthcare organization registered as a corneal and contact management in Fajardo, Puerto Rico and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Carolina and lists Cynthia E Villalobos, President, as its authorized official.

NPPES Registry Identity

NPI1518580943
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameMY OPTICAL FACTORY LLC
Location Address#61 CALLE GARRIDO MORALES WFajardo, PR 00738
Mailing AddressPo Box 1400Fajardo, PR 00738-1400 · (787) 860-4090
Fax(787) 863-5515
Organization SubpartNo
Authorized OfficialCynthia E VillalobosPresident · (787) 860-4090
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1518580943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Secondary Practice Location 1

Location 161 AVE. ISLA VERDE, SUITE 3061CAROLINA, PR 00979 · Phone (787) 727-4090 · Fax (787) 979-6090

Other Identifiers 1

MedicaidJM124PR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Optical Factory 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 My Optical Factory LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1710956339
#61 AVENIDA GARRIDO MORALES
Fajardo, PR 00738
(787) 860-4090
✔ 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 My Optical Factory LLC's NPI number?

The NPI number for My Optical Factory LLC is 1518580943. It was assigned to this organization in the NPPES registry on May 20, 2020.

Where is My Optical Factory LLC located?

My Optical Factory LLC is located at #61 Calle Garrido Morales W, Fajardo, PR 00738. The listed phone number is (787) 860-4090.

What is My Optical Factory LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is My Optical Factory LLC enrolled in Medicare?

Yes. My Optical Factory LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Optical Factory LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to My Optical Factory 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 My Optical Factory LLC was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.