Organization
FOR EYES OPTICAL OF PUERTO RICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GRIFFIN (SR ANALYST)
(954) 205-3412
Entity
Organization
Contact information
Practice address
3535 AVE MILITAR STE 193, ISABELA, PR 00662-4046
(954) 205-3412
(855) 881-9434
Mailing address
4000 LUXOTTICA PL, ATTN MEDICARE DEPT, MASON, OH 45040-8114
(954) 205-3412
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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