# SPECIALIZED EYE INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1639966393
- **Authorized official:** PEDRO J DAVILA MD (PRESIDENT)
- **Authorized official phone:** (787) 604-5429

## Contact information

- **Practice address:** 410 CALLE MENDEZ VIGO, DORADO, PR 00646-4800
- **Practice address phone:** (787) 796-4155
- **Mailing address:** PO BOX 317, DORADO, PR 00646-0317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |
| 207WX0109X | Neuro-ophthalmology Physician | — | NULL | — |
| 207WX0109X | Neuro-ophthalmology Physician | — | — | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | NULL | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | — | — |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 04/24/2025