Provider Demographics
NPI:1740441708
Name:OPTIK GROUP
Entity type:Organization
Organization Name:OPTIK GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-283-0915
Mailing Address - Street 1:CARR 848 K 0 H 2
Mailing Address - Street 2:SAINT JUST
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00978
Mailing Address - Country:US
Mailing Address - Phone:787-283-0915
Mailing Address - Fax:787-283-6131
Practice Address - Street 1:CARR 848 # K0H2
Practice Address - Street 2:SAINT JUST
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3068
Practice Address - Country:US
Practice Address - Phone:787-283-0915
Practice Address - Fax:787-283-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier