Provider Demographics
NPI:1124207451
Name:OPTOMETRY CARE INC
Entity Type:Organization
Organization Name:OPTOMETRY CARE INC
Other - Org Name:OPTICA BALDRICH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:TORO-OCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-763-6581
Mailing Address - Street 1:530 CALLE BESOSA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2851
Mailing Address - Country:US
Mailing Address - Phone:787-763-6581
Mailing Address - Fax:787-763-6581
Practice Address - Street 1:530 CALLE BESOSA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2851
Practice Address - Country:US
Practice Address - Phone:787-763-6581
Practice Address - Fax:787-763-6581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR556332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier