Healthcare Provider Details

I. General information

NPI: 1669377925
Provider Name (Legal Business Name): CYBER OPTICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 CALLE ELEONOR ROOSEVELT STE 104
SAN JUAN PR
00918-3058
US

IV. Provider business mailing address

PO BOX 260198
SAN JUAN PR
00926-2619
US

V. Phone/Fax

Practice location:
  • Phone: 787-603-2524
  • Fax:
Mailing address:
  • Phone: 787-603-2524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VIVIAN M BURNS
Title or Position: CEO
Credential:
Phone: 787-603-2524