Organization · NPI-2

Pro Vision Optical INC

Eyewear Supplier (Equipment, not the service) · Arecibo, PR

NPI number1770825531

StatusActive

Last updated in NPPESJan 20, 2023

Details

NPI: 1770825531
Entity type: Organization (NPI-2)
Legal business name: Pro Vision Optical INC
Organization subpart: No
Enumeration date: Mar 20, 2013
Certification date: Jan 20, 2023
Last updated: Jan 20, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332H00000X	Eyewear Supplier (Equipment, not the service)	–	–	Yes
152W00000X	Optometrist	420	PR
156FX1800X	Technician/Technologist, Optician	–	–

Practice location

Edificio Manuel "bundy" Jimenez Ave.
Victor Rojas Suite #3
Arecibo, PR 00612

Phone 787-854-9300 · Fax 787-854-6639

Mailing address

Po Box 851
Manati, PR 00674

Phone 787-854-9300 · Fax 787-884-5240

Authorized official

Wilson Mendez Lugo
President/Owner
7878549300

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