Provider Demographics
NPI:1972983112
Name:OPTICS EYE CARE INC
Entity Type:Organization
Organization Name:OPTICS EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:REBECA
Authorized Official - Last Name:ROSADO RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-649-2343
Mailing Address - Street 1:PLAZA SAN FRANCISCO
Mailing Address - Street 2:201 DE DIEGO AVE SUITE 40
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-5812
Mailing Address - Country:US
Mailing Address - Phone:787-782-6664
Mailing Address - Fax:787-774-3766
Practice Address - Street 1:PLAZA SAN FRANCISCO
Practice Address - Street 2:201 DE DIEGO AVE SUITE 40
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5812
Practice Address - Country:US
Practice Address - Phone:787-782-6664
Practice Address - Fax:787-774-3766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR626332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier