Healthcare Provider Details

I. General information

NPI: 1013826742
Provider Name (Legal Business Name): VISION OPTIMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

697 CALLE F MARTINEZ DE MATOS
MAYAGUEZ PR
00680-7027
US

IV. Provider business mailing address

697 CALLE F MARTINEZ DE MATOS
MAYAGUEZ PR
00680-7027
US

V. Phone/Fax

Practice location:
  • Phone: 787-560-6411
  • Fax:
Mailing address:
  • Phone: 787-560-6411
  • 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: YALEIDY TORO
Title or Position: OWNER
Credential:
Phone: 787-560-6411