Organization · NPI-2

Be Professional,psc

Optometrist · Carolina, PR

NPI number1245576099

StatusActive

Last updated in NPPESDec 26, 2012

Details

NPI: 1245576099
Entity type: Organization (NPI-2)
Legal business name: Be Professional,psc
Organization subpart: No
Enumeration date: Dec 26, 2012
Last updated: Dec 26, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes
152WL0500X	Optometrist, Low Vision Rehabilitation	–	–
152WP0200X	Optometrist, Pediatrics	–	–
152WS0006X	Optometrist, Sports Vision	–	–
152WV0400X	Optometrist, Vision Therapy	–	–
152WX0102X	Optometrist, Occupational Vision	–	–
156FC0800X	Technician/Technologist, Contact Lens	–	–
156FC0801X	Technician/Technologist, Contact Lens Fitter	–	–
156FX1201X	Technician/Technologist, Optometric Assistant	–	–
156FX1202X	Technician/Technologist, Optometric Technician	–	–
156FX1800X	Technician/Technologist, Optician	480	PR
174H00000X	Health Educator	–	–
332900000X	Non-Pharmacy Dispensing Site	–	–
332H00000X	Eyewear Supplier (Equipment, not the service)	–	–

Other names

Atlantis Optical (Doing Business As)

Practice location

Ave Monserrate # 97
Numero 28 Villa Carolina
Carolina, PR 00985-5444

Phone 939-246-1079 · Fax 186-689-9305

Mailing address

Po Box 6029
Pmb 2296
Carolina, PR 00984-6029

Phone 939-246-1079 · Fax 186-689-9305

Authorized official

Jose Baez
President
9392461079

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