Organization
EYEWEAR MARKET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANA RODRIGUEZ OD (OPTOMETRIST)
(787) 586-4179
Entity
Organization
Contact information
Practice address
AB8 CALLE NEBRASKA URB CAGUAS NORTE, CAGUAS, PR 00725
(787) 586-4179
Mailing address
AB8 CALLE NEBRASKA URB CAGUAS NORTE, CAGUAS, PR 00725
(787) 586-4179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
666
OD LICENSE
PR
Enumeration date
09/19/2018
Last updated
09/19/2018
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