Organization Name: | EYEGLASSES UNLIMITED INC |
NPI Number: | 1215201330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE G ACEVEDO (OPTOMETRIST/PRESIDENT) |
Mailing Address: | 2298 Edificio Toro Cycle 101 Carr . 100 Km 5.9 Cabo Rojo |
State: | PR US |
Postal Code: | 006234442 |
Phone Number: | 7878510484 |
Fax Number: | 7872550888 |
NPI Enumeration Date: | 03/07/2012 |
NPI Last Update Date: | 03/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS0132X |
License Number: | 272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ophthalmologic Surgery |
Taxonomy Definition: |