Organization
FOR EYES OPTICAL OF PUERTO RICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GERVASI (CEO)
(305) 557-9004
Entity
Organization
Contact information
Practice address
PLAZA DEL NORTE MALL 506 CALLE TRUNCADO, SUITE C-111, HATILLO, PR 00659-2716
(305) 557-9004
(855) 881-9434
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(855) 881-9434
(855) 881-9434
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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