Organization
LENS OPTICAL BOUTIQUE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZORY MARY FELICIANO GONZALEZ (OPTICO)
(939) 270-1803
Entity
Organization
Contact information
Practice address
1234 PASEO LAS MONJITAS, PONCE, PR 00728
(939) 270-1803
(787) 651-3289
Mailing address
PO BOX 8730, PONCE, PR 00732-8730
(939) 270-1803
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
07/17/2019
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