=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700780103
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EYES OPTIC CLINICA VISUAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2026
-----------------------------------------------------
Last Update Date | 10/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8 CALLE ANTONIO R BARCELO
-----------------------------------------------------
City | TOA ALTA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00953-2491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-531-3432
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 CALLE ANTONIO R BARCELO
-----------------------------------------------------
City | TOA ALTA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00953-2491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-531-3432
-----------------------------------------------------
Fax | 939-338-3360
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. SONIA E VIRELLA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-531-3432
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 156F00000X
-----------------------------------------------------
Taxonomy Name | Technician/Technologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------