Healthcare Provider Details

I. General information

NPI: 1407605322
Provider Name (Legal Business Name): FOCUS POINT OPTICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO CAMINO NUEVO CARR. 901 KM 3.3
YABUCOA PR
00767
US

IV. Provider business mailing address

PO BOX 1726
SAN LORENZO PR
00754-1726
US

V. Phone/Fax

Practice location:
  • Phone: 939-465-1288
  • Fax: 939-465-1290
Mailing address:
  • Phone: 939-465-1288
  • Fax: 939-465-1290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. OMAR RIVERA MOJICA
Title or Position: PRESIDENT/OWNER
Credential: OD
Phone: 939-465-1288