Provider Demographics
NPI:1376178178
Name:VEOVEO OPTIKA LLC
Entity Type:Organization
Organization Name:VEOVEO OPTIKA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZZETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:IRIZARRY LOYOLA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-886-8888
Mailing Address - Street 1:138 AVENIDA WISTON CHURCHILL
Mailing Address - Street 2:PMB 674
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-886-8888
Mailing Address - Fax:877-408-9167
Practice Address - Street 1:AVENIDA EMILIANO POL #255
Practice Address - Street 2:URB. LA CUMBRE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-886-8888
Practice Address - Fax:877-408-9167
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VEOVEO OPTIKA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty