Organization
MAYAGUEZ OPTICAL LAB
Active
Other names
Sears Optica
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L VAZQUEZ SR. (PRESIDENTE)
(787) 834-2492
Entity
Organization
Contact information
Practice address
CALLE PERAL #14, EDIFICIO LA PALMA OFICINA 1A, MAYAGUEZ, PR 00680-4913
(787) 834-2492
(787) 265-2190
Mailing address
CALLE PERAL #14, EDIFICIO LA PALMA OFICINA 1A, MAYAGUEZ, PR 00680-4913
(787) 834-2492
(787) 265-2190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/20/2005
Last updated
08/22/2020
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