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Organization

PRO VISION OPTICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILSON MENDEZ LUGO OP (PRESIDENT/OWNER)
(787) 854-9300
Entity
Organization

Contact information

Practice address
EDIFICIO MANUEL 'BUNDY' JIMENEZ AVE., VICTOR ROJAS SUITE #3, ARECIBO, PR 00612
(787) 854-9300
(787) 854-6639
Mailing address
PO BOX 851, MANATI, PR 00674
(787) 854-9300
(787) 884-5240

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
420
PR
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
03/20/2013
Last updated
01/20/2023
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