Organization
OHI OF PUERTO RICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GIRISGEN OD (CEO)
(702) 580-7404
Entity
Organization
Contact information
Practice address
275 ROUTE 22, SPRINGFIELD, NJ 07081-3554
(702) 580-7404
Mailing address
275 ROUTE 22, SPRINGFIELD, NJ 07081-3554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/30/2015
Last updated
08/20/2015
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