Organization
O G BLESS VISION LLC
Active
Other names
Nova Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GISELLE M MALDONADO OPTICO LICENCIADO (PROPIETARIA)
(787) 612-9301
Entity
Organization
Contact information
Practice address
BO CANAS CARR 10 KM 0.1, LOCAL 9 SHOPPING ECONO MOREL CAMPOS, PONCE, PR 00728
(787) 999-9999
Mailing address
PO BOX 113, PONCE, PR 00715-0113
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
06/29/2022
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