Optical Illusion is a
Eyewear Supplier based in Coto Laurel, Puerto Rico. Optical Illusion is licensed to practice in * (Not Available) (license number ) and their current practice location is
Calle Central 85 Local 1, Coto Laurel, Puerto Rico. It can be reached at their office (for appointments etc.) via phone at
(787) 848-2394.
NPI number for Optical Illusion is 1093450678 and their current mailing address is Calle Central 85 Local 1, Coto Laurel, Puerto Rico. Optical Illusion
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093450678.
Healthcare Provider's Profile
| Full Name | Optical Illusion |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | Calle Central 85 Local 1, Coto Laurel, Puerto Rico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093450678
- Provider Enumeration Date: 04/28/2022
- Last Update Date: 01/15/2023
Medical Identifiers
Medical identifiers for Optical Illusion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093450678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Optical Illusion is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Optical Illusion
Calle Central 85 Local 1,
Coto Laurel, PR 00780
Ph: (939) 273-1283 | Optical Illusion
Calle Central 85 Local 1,
Coto Laurel, PR 00780
Ph: (787) 848-2394 |
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