Organization · NPI-2
Eye Care Optical Express
Optometrist · Caguas, PR
NPI number1972719243
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1972719243
- Entity type
- Organization (NPI-2)
- Legal business name
- Eye Care Optical Express
- Organization subpart
- No
- Enumeration date
- May 15, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 543 | PR | Yes |
Practice location
#36 Gautier BenitezSuite 101
Caguas, PR 00725
Phone 787-744-6021 · Fax 787-744-6022
Mailing address
Piso 1 G-14Plaza Gautier
Caguas, PR 00727
Phone 787-744-6021 · Fax 787-744-6022
Authorized official
Ilian Y Diaz
Optometrist
7877446021
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