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Brain & Vision Boutique

NPI 1750092367ActiveOrganization· Optometrist· San Juan, PR

Optometrist in San Juan, Puerto Rico, registered in NPPES in December 2022, part of Brain & Vision, LLC. The authorized official on file is Jovanny Ulloa, OD, Optometrist/Owner.

Overview

NPI1750092367
StatusActive
Entity typeOrganization (subpart)
Parent organizationBrain & Vision, LLC
NPI issuedDec 6, 2022
Last updated in NPPESDec 20, 2022
Certified by providerDec 20, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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