Provider Demographics
NPI:1205041399
Name:EYE CARE AND OPTICAL CORP
Entity Type:Organization
Organization Name:EYE CARE AND OPTICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANCA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-824-1414
Mailing Address - Street 1:PLAZA SALINAS SHOPPING CTR LOCAL 1
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751
Mailing Address - Country:US
Mailing Address - Phone:787-824-1414
Mailing Address - Fax:787-824-1414
Practice Address - Street 1:PLAZA SALINAS SHOPPING CTR LOCAL 1
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:787-824-1414
Practice Address - Fax:787-824-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR584152W00000X
332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Not Answered332H00000XSuppliersEyewear Supplier