Provider Demographics
NPI:1033602958
Name:I.C. BETTER CORP.
Entity Type:Organization
Organization Name:I.C. BETTER CORP.
Other - Org Name:NEW EYES OPTICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JANNIECEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-612-8118
Mailing Address - Street 1:36 CALLE NEVAREZ
Mailing Address - Street 2:COND. LOS OLMOS APT 12D
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-210-6011
Mailing Address - Fax:787-863-2878
Practice Address - Street 1:194 INT. CARR. 940 KM 147
Practice Address - Street 2:PLAZA FAJARDO
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-863-6110
Practice Address - Fax:787-863-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0659152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty