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NPI 1831010255

NPI 1831010255 : LOOK OPTICAL OUTLET LLC : CAGUAS, PR

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General NPI Number Information
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    NPI Number           |    1831010255
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOOK OPTICAL OUTLET LLC 
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Dates
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    Enumeration Date     |    07/22/2026
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    Last Update Date     |    07/22/2026
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Provider Practice Location Address
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    Address Line         |    URB BONNEVILLE HTS 41 CALLE AGUAS BUENAS AVENIDA DEGETAU AA5
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00727-4992
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    Country              |    US
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    Telephone            |    787-466-4777
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PLAZA DEGETAU 
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00727-4992
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    Country              |    US
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    Telephone            |    787-466-4777
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JOSE A GRILLO 
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    Credential           |    
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    Telephone            |    787-466-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    
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