Provider Demographics
NPI:1215201330
Name:EYEGLASSES UNLIMITED INC
Entity Type:Organization
Organization Name:EYEGLASSES UNLIMITED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-528-7044
Mailing Address - Street 1:2298 EDIFICIO TORO CYCLE 101
Mailing Address - Street 2:CARR . 100 KM 5.9
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-4442
Mailing Address - Country:US
Mailing Address - Phone:787-851-0484
Mailing Address - Fax:787-255-0888
Practice Address - Street 1:2298 EDIFICIO TORO CYCLE 101
Practice Address - Street 2:CARR . 100 KM 5.9
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4442
Practice Address - Country:US
Practice Address - Phone:787-851-0484
Practice Address - Fax:787-255-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR272261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery