Organization
EYE LAND OPTICAL INC
Active
Other names
Centro Oftalmologico Lopez y Optica
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL E LOPEZ M.D. (OWNER)
(787) 882-4189
Entity
Organization
Contact information
Practice address
STREET 110 KM 0.3, AGUADILLA, PR 00603
(787) 882-4189
(787) 882-0562
Mailing address
PO BOX 250431, AGUADILLA, PR 00604-0431
(787) 882-4189
(787) 882-0562
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
14569
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263899563
—
PR
Enumeration date
06/19/2007
Last updated
01/03/2014
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