Eyespot Vision Care Corp | |
B5 Ave El Conquistador, Fajardo, PR 00738 | |
(786) 925-2342 | |
Not Available |
Full Name | Eyespot Vision Care Corp |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | B5 Ave El Conquistador, Fajardo, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861735367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Lizzette Maria Irizarry |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851540611 PECOS PAC ID: 2264695444 Enrollment ID: I20120525000518 |
Mailing Address | Practice Location Address |
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Eyespot Vision Care Corp 1830 Sw 93 Place, Miami, FL 33165 Ph: (786) 925-2342 | Eyespot Vision Care Corp B5 Ave El Conquistador, Fajardo, PR 00738 Ph: (786) 925-2342 |
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