Organization
OHI OF PUERTO RICO, LLC
Active
Other names
Pearle Vision 8754
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAS CALDERON (SPECIALIST)
(787) 925-1851
Entity
Organization
Contact information
Practice address
157 PLAZA CAROLINA, BALDORIOTY DE CASTRO-EXP, CAROLINA, PR 00985
(787) 750-6850
Mailing address
275 ROUTE 22, SPRINGFIELD, NJ 07081-3554
(917) 716-7666
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
03/18/2016
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