MEDICARE: OPTICA BARTOLOMEI CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1013287580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTICA BARTOLOMEI CORP.

Provider Business Mailing Address
First Line	:	431 CALLE TENIENTE CESAR GONZALEZ
Second Line	:	URB. ROOSEVELT
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2639
Country	:	US
Telephone Number	:	787-250-8285
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 CALLE TENIENTE CESAR GONZALEZ
Second Line	:	URB. ROOSEVELT
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2639
Country	:	US
Telephone Number	:	787-250-8285
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VICTORIA BARTOLOMEI
Credential	:	M.D.
Telephone Number	:	787-250-8285

Provider Enumeration Date	:	12/30/2011
Last Update Date	:	12/30/2011

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Directions to “OPTICA BARTOLOMEI CORP. ” Practice Location

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