Organization · NPI-2

Ohi Of Puerto Rico, LLC

Optometrist · Arecibo, PR

NPI number1124494927
StatusActive
Last updated in NPPESAug 15, 2015

Details

NPI
1124494927
Entity type
Organization (NPI-2)
Legal business name
Ohi Of Puerto Rico, LLC
Organization subpart
No
Enumeration date
Aug 15, 2015
Last updated
Aug 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
332H00000X Eyewear Supplier (Equipment, not the service)––

Practice location

1400 Ave Miramar
Plaza Del Atlantico Ste 154
Arecibo, PR 00612-2894

Phone 787-879-2202

Mailing address

275 Route 22
Springfield, NJ 07081-3554

Authorized official

Karen Lemer
Biller
8473090098

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