SPECIALIZED EYE INSTITUTE, LLC
NPI 1639966393
Ophthalmology - Retina Specialist in Dorado, PR

Active since April 24, 2025
410 CALLE MENDEZ VIGO, DORADO, PR 00646(787) 796-4155 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Specialized Eye Institute, Llc NPPES

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

SPECIALIZED EYE INSTITUTE, LLC (NPI 1639966393) is a healthcare organization registered as a retina specialist in Dorado, Puerto Rico and active in the NPI registry since April 2025. The organization lists Pedro J Davila, President, as its authorized official.

NPPES Registry Identity

NPI1639966393
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameSPECIALIZED EYE INSTITUTE, LLC
Location Address410 CALLE MENDEZ VIGODorado, PR 00646-4800
Mailing AddressPo Box 317Dorado, PR 00646-0317
Organization SubpartNo
Authorized OfficialPedro J DavilaPresident · (787) 604-5429
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1639966393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Specialized Eye Institute, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Ophthalmology
NPI 1265852040
410 CALLE MENDEZ VIGO STE 104
Dorado, PR 00646
(787) 200-4048
✔ PECOS✔ Accepts Medicare
Ophthalmology
NPI 1871881631
410 CALLE MENDEZ VIGO STE 104
Dorado, PR 00646
(787) 200-6767
✔ PECOS✔ Accepts Medicare
Ophthalmology
NPI 1336541499
1114 AVE JESUS T PINERO
San Juan, PR 00921
(787) 781-3020
✔ PECOS✔ Accepts Medicare

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 Specialized Eye Institute, LLC's NPI number?

The NPI number for Specialized Eye Institute, LLC is 1639966393. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Specialized Eye Institute, LLC located?

Specialized Eye Institute, LLC is located at 410 Calle Mendez Vigo, Dorado, PR 00646. The listed phone number is (787) 796-4155.

What is Specialized Eye Institute, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Specialized Eye Institute, LLC enrolled in Medicare?

Yes. Specialized Eye Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialized Eye Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Specialized Eye Institute, 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 Specialized Eye Institute, LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.