Provider Demographics
NPI:1598098626
Name:PEOPLES VISION CARE CENTER INC
Entity Type:Organization
Organization Name:PEOPLES VISION CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:CEDENO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-708-5838
Mailing Address - Street 1:EMILIANO POL AVE 497
Mailing Address - Street 2:PMB 50 LA CUMBRE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5636
Mailing Address - Country:US
Mailing Address - Phone:787-708-5838
Mailing Address - Fax:
Practice Address - Street 1:EMILIANO POL AVE 271
Practice Address - Street 2:LA CUMBRE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5639
Practice Address - Country:US
Practice Address - Phone:787-708-5838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty