Provider Demographics
NPI:1851167019
Name:D Y ORENGO LLC DR GLASSES OPTICAL AND MORE
Entity Type:Organization
Organization Name:D Y ORENGO LLC DR GLASSES OPTICAL AND MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORENGO ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-222-7124
Mailing Address - Street 1:HC 5 BOX 93300
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9661
Mailing Address - Country:US
Mailing Address - Phone:787-222-7124
Mailing Address - Fax:
Practice Address - Street 1:CARR. 492 KM 5.2
Practice Address - Street 2:HATO ABAJO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-222-7124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No152W00000XEye and Vision Services ProvidersOptometrist
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty