Provider Demographics
NPI:1740624642
Name:OPTICAL SERVICES & MORE INC
Entity type:Organization
Organization Name:OPTICAL SERVICES & MORE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALVAREZ CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-880-3860
Mailing Address - Street 1:32010 CALLE LIVISTONIA A-16
Mailing Address - Street 2:UBR PALMAR DORADO NORTE
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-8302
Mailing Address - Country:US
Mailing Address - Phone:787-880-3860
Mailing Address - Fax:954-312-9316
Practice Address - Street 1:506 CALLE TRUNCADO SUITE A122
Practice Address - Street 2:PLAZA DEL NORTE
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2737
Practice Address - Country:US
Practice Address - Phone:787-880-3860
Practice Address - Fax:954-312-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty