Provider Demographics
NPI:1669262192
Name:SOLO OPTICA LLC
Entity type:Organization
Organization Name:SOLO OPTICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-200-4677
Mailing Address - Street 1:RR 8 BOX 1995 PMB 121
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-200-4677
Mailing Address - Fax:
Practice Address - Street 1:PLAZA DEL MERCADO
Practice Address - Street 2:DR LEOPOLDO FIGUEROA LOCAL 2 Y 3
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00963
Practice Address - Country:US
Practice Address - Phone:787-966-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLO OPTICA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty