Provider Demographics
NPI:1013775691
Name:MVP OPTICALS LLC
Entity Type:Organization
Organization Name:MVP OPTICALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PINET
Authorized Official - Suffix:
Authorized Official - Credentials:OP
Authorized Official - Phone:787-450-0447
Mailing Address - Street 1:HC 1 BOX 3801
Mailing Address - Street 2:
Mailing Address - City:LOIZA
Mailing Address - State:PR
Mailing Address - Zip Code:00772-9621
Mailing Address - Country:US
Mailing Address - Phone:787-450-0447
Mailing Address - Fax:
Practice Address - Street 1:CARR 3 KM 22.5
Practice Address - Street 2:URB. RIO GRANDE HILLS
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-450-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty