The Optical Shop INC
Optometrist in Rincon, PR. Organization (NPI-2).
NPI number1124166293
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124166293
- Entity type
- Organization (NPI-2)
- Legal business name
- The Optical Shop INC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 594 | PR | Yes |
Practice location
Carretera 115 Km 11.6 Bo. PuebloRincon, PR 00677
Phone 787-823-4545 · Fax 787-823-4545
Mailing address
Po Box 464Rincon, PR 00677-0464
Authorized official
Fidel Rodriguez Torres
President
7878234545
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