Provider Demographics
NPI:1265219836
Name:PRIMARY EYE CARE OPTOMETRICS PR LLC
Entity type:Organization
Organization Name:PRIMARY EYE CARE OPTOMETRICS PR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZULMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-955-9144
Mailing Address - Street 1:PO BOX 1902
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-1902
Mailing Address - Country:US
Mailing Address - Phone:787-955-9144
Mailing Address - Fax:
Practice Address - Street 1:975 AVE HOSTOS STE 2100
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1252
Practice Address - Country:US
Practice Address - Phone:787-832-2280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty