MEDICARE: EYE VUE OPTICAL

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1528913415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE VUE OPTICAL

Provider Business Mailing Address
First Line	:	URB LOS PABELLONES 254
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00949
Country	:	US
Telephone Number	:	939-793-4807
Fax Number	:

Provider Business Practice Location Address
First Line	:	SANTA MARIA SHOPPING CENTER
Second Line	:	SUITE A-12
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	939-793-4807
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENTE
Name	:	JESSICA L GARCIA BAYON
Credential	:	MD
Telephone Number	:	939-793-4807

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “EYE VUE OPTICAL ” Practice Location

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