Organization
WESTERN OPTICAL OUTLET, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZA COLON OD (PRESIDENT)
(787) 849-0303
Entity
Organization
Contact information
Practice address
164 CARR 2, PLAZA MONSERRATE 1 LOCAL 1, HORMIGUEROS, PR 00660-1400
(787) 849-0303
(787) 849-0302
Mailing address
PO BOX 30, HORMIGUEROS, PR 00660-0030
(787) 849-0303
(787) 849-0302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
497
PR
Other
Enumeration date
07/21/2005
Last updated
08/01/2012
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