Eyemart Pr LLC
Optometrist in Bayamon, PR. Organization (NPI-2).
NPI number1528937372
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1528937372
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyemart Pr LLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2025
- Certification date
- Oct 28, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Practice location
Cc36 Calle CeibasBayamon, PR 00961-3419
Phone 787-798-3333
Mailing address
64 Ave.CondadoPlaza Del Condado Apto.904
San Juan, PR 00907
Phone 787-674-7749
Authorized official
Wilda Ivette Santiago
Optometrist
7876747749
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