Organization
J.E.D.INC
Active
Other names
Vision Care Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES M DIAZ OPTICIAN (MANAGER)
(787) 848-4614
Entity
Organization
Contact information
Practice address
396 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 848-4614
(787) 848-4614
Mailing address
PO BOX 374, MERCEDITA, PR 00715-0374
(787) 848-4614
(787) 848-4614
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
511
PR
Other
Enumeration date
10/18/2005
Last updated
06/25/2008
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