Provider Demographics
NPI:1346596806
Name:A&S OPTICAL, PSC
Entity Type:Organization
Organization Name:A&S OPTICAL, PSC
Other - Org Name:A&S OPTICAL VISUAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-367-6238
Mailing Address - Street 1:250 CALLE CRUZ ORTIZ STELLA STE 11
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-4144
Mailing Address - Country:US
Mailing Address - Phone:939-428-1140
Mailing Address - Fax:877-496-5503
Practice Address - Street 1:250 CALLE CRUZ ORTIZ STELLA STE 11
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-4144
Practice Address - Country:US
Practice Address - Phone:939-428-1140
Practice Address - Fax:877-496-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR674152W00000X
PR650152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty