Provider Demographics
NPI:1023201290
Name:VISUAL EYE INC
Entity Type:Organization
Organization Name:VISUAL EYE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:MIGENES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-720-7080
Mailing Address - Street 1:31 CALLE CARAZO
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5708
Mailing Address - Country:US
Mailing Address - Phone:787-720-7080
Mailing Address - Fax:787-720-7080
Practice Address - Street 1:31 CALLE CARAZO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5708
Practice Address - Country:US
Practice Address - Phone:787-720-7080
Practice Address - Fax:787-720-7080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100160OtherCRUZ AZUL
PR890160OtherMMM
PR=========OtherMCS
PR=========OtherMCS