Organization
EYEWEAR SHOP LLC
Active
Other names
EYEWEAR SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN I ORONA (OPTICIAN)
(787) 630-3025
Entity
Organization
Contact information
Practice address
AVENIDA DEGETAU A18, BONNEVILE TERRACE, CAGUAS, PR 00725
(787) 630-3025
Mailing address
1652 CALLE SANTA AGUEDA APT 6, SAN JUAN, PR 00926-4119
(787) 630-3025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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