Organization
VISION GALLERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANOUK M UNDERWOOD O.D. (OPTOMETRIST)
(787) 725-1100
Entity
Organization
Contact information
Practice address
142 CALLE DEL PARQUE, SUITE 1, SAN JUAN, PR 00911-1965
(787) 725-1100
(787) 725-1200
Mailing address
142 CALLE DEL PARQUE, SUITE 1, SAN JUAN, PR 00911-1965
(787) 725-1100
(787) 725-1200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
600
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306801550
INDIVIDUAL NPI
PR
Enumeration date
02/15/2012
Last updated
04/26/2012
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