Organization
BUENA VISTA OPTICAL,INC
Active
Other names
pearle vision drive in plaza
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AWILDA LOPEZ OD (PRESIDENT)
(787) 778-8308
Entity
Organization
Contact information
Practice address
2135 CARR 2 # IN, SUITE 65, BAYAMON, PR 00959-5219
(787) 778-8308
(787) 778-8309
Mailing address
CARR #2 DRIVE IN PLAZA 2135, SUITE 65, BAYAMON, PUERTO RICO 00959
(787) 778-8308
(787) 778-8309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
185
PR
Other
Enumeration date
06/14/2008
Last updated
09/16/2008
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