Organization
METRO OPTIKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELEINE M LOPEZ OD (OPTOMETRIST CERTIFICADA)
(787) 787-2500
Entity
Organization
Contact information
Practice address
B9 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 787-2500
(787) 946-5888
Mailing address
B9 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 787-2500
(787) 946-5888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
517
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5-8254LO
TRIPLE S
PR
01
—
CD808Z
MEDICARE PTAN #
PR
Enumeration date
10/07/2008
Last updated
03/23/2015
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