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General NPI Number Information
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NPI Number | 1548157423
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Entity Type | Organization
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Legal Business Name | EYEHAUS OPTICAL LLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | EYEHAUS OPTICAL LL MAYAGUEZ MALL CARR #2 INT CARR #343
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-254-6621
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1192
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City | HORMIGUEROS
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State | PR
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Zip | 00660-1192
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Country | US
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Telephone | 787-235-2240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANICA ORTIZ ORTIZ
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Credential | MD
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Telephone | 787-235-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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