# MY OPTICAL FACTORY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518580943
- **Authorized official:** DR. CYNTHIA E VILLALOBOS OD (PRESIDENT)
- **Authorized official phone:** (787) 860-4090

## Contact information

- **Practice address:** \#61 CALLE GARRIDO MORALES W, FAJARDO, PR 00738
- **Practice address phone:** (787) 860-4090
- **Practice address fax:** (787) 863-5515
- **Mailing address:** PO BOX 1400, FAJARDO, PR 00738-1400
- **Mailing address phone:** (787) 860-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2020
- **Last updated:** 05/20/2020