Organization
DEO PR RETAIL 2 LLC
Active
Parent organization
DEO PR RETAIL 1 LLC
Other names
deo new york
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEO PR RETAIL 1 LLC
Authorized official
MR. GUSTAVO ANDRES GAUTIER (DIR. OF OPERATIONS)
(787) 429-6724
Entity
Organization
Contact information
Practice address
270 PR-52, CAGUAS, PR 00725
(646) 512-0313
Mailing address
2019 E 3RD ST, BROOKLYN, NY 11223-2946
(646) 512-0313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
05/27/2020
Last updated
10/10/2023
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