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General NPI Number Information
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NPI Number | 1972983112
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Entity Type | Organization
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Legal Business Name | OPTICS EYE CARE INC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | PLAZA SAN FRANCISCO 201 DE DIEGO AVE SUITE 40
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City | SAN JUAN
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State | PR
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Zip | 00927-5812
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Country | US
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Telephone | 787-782-6664
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Fax | 787-774-3766
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Provider Business Mailing Address
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Address Line | PLAZA SAN FRANCISCO 201 DE DIEGO AVE SUITE 40
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City | SAN JUAN
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State | PR
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Zip | 00927-5812
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Country | US
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Telephone | 787-782-6664
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Fax | 787-774-3766
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VIVIAN REBECA ROSADO RIVERA
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Credential |
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Telephone | 787-649-2343
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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 | 626
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License Number State | PR
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