Organization
OPTICA PERICHI CUIDADO VISUAL EBEN-EZER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY NOEMI PERICHI L.O. (OWNER)
(787) 673-3513
Entity
Organization
Contact information
Practice address
27 CALLE CARBONELL, CABO ROJO, PR 00623-3547
(787) 673-3513
Mailing address
27 CALLE CARBONELL, CABO ROJO, PR 00623-3547
(787) 673-3513
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
469
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8550
FIRST COAST SERVICE OPTIONS, INC.
—
Enumeration date
12/20/2012
Last updated
12/20/2012
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