Organization · Type 2 NPI

Innova Optica Dos

Eyewear Supplier · Cayey, PR

NPI number 1265046643 Active

Practice location

Carr 1 Km 56.7
Cayey, PR 00736

Call (787) 535-0315 Map

Fax (787) 535-0316

Mailing address

PO Box 2058
Aibonito, PR 00705-2058

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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NPI record

NPI: 1265046643
Entity type: Organization (Type 2)
Issued: Sep 3, 2020
Last updated: Dec 23, 2020
Status: Active
Subpart: Yes of Eye Optical Services and Management Group Inc

Other names

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Innova Optica Dos · doing business as

Authorized official

Omar Rolon Rodriguez
Owner
(787) 535-0315

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265046643

Innova Optica Dos's National Provider Identifier is 1265046643, issued on Sep 3, 2020. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Cayey, PR. The record was last updated on Dec 23, 2020.