Provider Demographics
NPI:1750632907
Name:IN STYLE VISION
Entity Type:Organization
Organization Name:IN STYLE VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:M
Authorized Official - Last Name:KALEEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-860-9525
Mailing Address - Street 1:410 AVE MONTE SOL
Mailing Address - Street 2:SUITE 9
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-5101
Mailing Address - Country:US
Mailing Address - Phone:787-860-9525
Mailing Address - Fax:787-860-9525
Practice Address - Street 1:410 AVE MONTE SOL
Practice Address - Street 2:SUITE 9
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-5101
Practice Address - Country:US
Practice Address - Phone:787-860-9525
Practice Address - Fax:787-860-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR528152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty