# EYE LAND OPTICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro Oftalmologico Lopez y Optica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093910952
- **Authorized official:** DR. RAUL E LOPEZ M.D. (OWNER)
- **Authorized official phone:** (787) 882-4189

## Contact information

- **Practice address:** STREET 110 KM 0.3, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-4189
- **Practice address fax:** (787) 882-0562
- **Mailing address:** PO BOX 250431, AGUADILLA, PR 00604-0431
- **Mailing address phone:** (787) 882-4189
- **Mailing address fax:** (787) 882-0562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FC0800X | Contact Lens Technician/Technologist | 14569 | PR | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 01/03/2014