Provider Demographics
NPI:1225810914
Name:PERFECT LENS LLC
Entity Type:Organization
Organization Name:PERFECT LENS LLC
Other - Org Name:OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKMIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:787-667-0220
Mailing Address - Street 1:PO BOX 1153
Mailing Address - Street 2:1153
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785
Mailing Address - Country:US
Mailing Address - Phone:787-667-0220
Mailing Address - Fax:
Practice Address - Street 1:URB. JARDINES DE LAFAYETTE
Practice Address - Street 2:C1 CALLE A
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714
Practice Address - Country:US
Practice Address - Phone:787-667-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1202XEye and Vision Services ProvidersTechnician/TechnologistOptometric TechnicianGroup - Single Specialty