Organization
LC OPTICAL VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A CASTRO O.D. (OPTOMETRIST)
(787) 839-2131
Entity
Organization
Contact information
Practice address
CENTRO COOP MAUNA COOP, CARR 3 INT. 178, ARROYO, PR 00714
(787) 839-2131
(787) 839-2131
Mailing address
MANSIONES DEL CARIBE 55 CALLE JADE, HUMACAO, PR 00791
(787) 380-6715
(787) 839-2131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
540
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100030
LA CRUZ AZUL DE PR
PR
01
—
7140015
HUMANA
PR
01
—
MMM
890162
PR
01
—
PR0540
EYE MED VISION CARE
PR
01
—
TRIPLE S
62541
PR
Enumeration date
05/11/2007
Last updated
08/29/2008
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