Organization
OHI OF PUERTO RICO, LLC
Active
Other names
Pearle Vision #C7214
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GIRISGEN (SPECIALIST)
(702) 580-7404
Entity
Organization
Contact information
Practice address
40 CARR #2 STE 80, PLAZA ATENAS S/C, MANATI, PR 00674
(787) 854-3673
Mailing address
275 ROUTE 22, ATTN MEDICARE DEPT, SPRINGFIELD, NJ 07081-3554
(847) 309-0098
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
08/20/2015
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