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Organization

FOR EYES OPTICAL OF PUERTO RICO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization

Contact information

Practice address
200 AVE RAFAEL CORDERO STE 106, CAGUAS, PR 00725-4302
(939) 332-7043
Mailing address
200 AVE RAFAEL CORDERO, CAGUAS, PR 00725-3740
(939) 332-7043

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
12/07/2018
Last updated
07/23/2019
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