Organization
MAYAGUEZ OPTICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH VAZQUEZ (PRESIDENT)
(787) 399-6042
Entity
Organization
Contact information
Practice address
975 AVENIDA HOSTOS, MAYAGUEZ MALL SUITE 110, MAYAGUEZ, PR 00680
(787) 833-9200
Mailing address
14 PERAL STREET, LA PALMA BUILDING SUITE 1A, MAYAGUEZ, PR 00680
(787) 834-2492
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
PR
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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