Healthcare Provider Details

I. General information

NPI: 1831010255
Provider Name (Legal Business Name): LOOK OPTICAL OUTLET LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB BONNEVILLE HTS 41 CALLE AGUAS BUENAS AVENIDA DEGETAU AA5
CAGUAS PR
00727-4992
US

IV. Provider business mailing address

PLAZA DEGETAU
CAGUAS PR
00727-4992
US

V. Phone/Fax

Practice location:
  • Phone: 787-466-4777
  • Fax:
Mailing address:
  • Phone: 787-466-4777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: JOSE A GRILLO
Title or Position: PRESIDENT
Credential:
Phone: 787-466-4777