Healthcare Provider Details

I. General information

NPI: 1750977906
Provider Name (Legal Business Name): PERFECT VISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARGINAL AVE. BALDORIOTY DE CASTRO NORTE SHOPPING CENTER LOCAL #12
SAN JUAN PR
00913-6869
US

IV. Provider business mailing address

PO BOX 1793
SABANA SECA PR
00952-1793
US

V. Phone/Fax

Practice location:
  • Phone: 787-397-2605
  • Fax:
Mailing address:
  • Phone: 787-397-2605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. AGUEDITA REYES
Title or Position: OWNER
Credential:
Phone: 787-397-2605