Provider Demographics
NPI:1548737844
Name:EMPRESAS OPTICA NACIONAL
Entity Type:Organization
Organization Name:EMPRESAS OPTICA NACIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-816-7396
Mailing Address - Street 1:HC 8 BOX 68920
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-6125
Mailing Address - Country:US
Mailing Address - Phone:787-881-0169
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 INT. 130 LOCAL 3
Practice Address - Street 2:LA CEIBA SHOPPING CENTER
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-820-3322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier