Provider Demographics
NPI:1598751851
Name:OPTICA PUNTO DE VISTA
Entity Type:Organization
Organization Name:OPTICA PUNTO DE VISTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-789-1511
Mailing Address - Street 1:SANTA MARIA SHOPPING PLAZA
Mailing Address - Street 2:LOCAL 2A
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-789-1511
Mailing Address - Fax:787-789-1505
Practice Address - Street 1:SANTA MARIA SHOPPING PLAZA
Practice Address - Street 2:LOCAL 2A
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-789-1511
Practice Address - Fax:787-789-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty