Organization
PRO VISION OPTICAL LLC
Active
Parent organization
PRO VISION OPTICAL LLC
Other names
Pro Vision Optical LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO VISION OPTICAL LLC
Authorized official
MR. WILSON J. MENDEZ LUGO (OWNER)
(787) 854-9300
Entity
Organization
Contact information
Practice address
CARR. #2 KM 47.0, SECTOR CAMPO ALEGRE, MANATI, PR 00674
(787) 854-9300
(787) 854-6639
Mailing address
PO BOX 851, MANATI, PR 00674-0851
(787) 854-9300
(787) 854-6639
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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