Organization
EMPRESAS OPTICA NACIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA IRIZARRY OPTICIAN (OWNER)
(787) 816-7396
Entity
Organization
Contact information
Practice address
CARR 651 KM 2.4 SECTOR JUNCOS, ARECIBO, PR 00612-6125
(787) 816-7396
(787) 815-4466
Mailing address
HC 8 BOX 68920, ARECIBO, PR 00612-6125
(787) 816-7396
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6177340001
MEDICARE
PR
Enumeration date
04/13/2007
Last updated
10/12/2018
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