Provider Demographics
NPI:1023779618
Name:C-EYE OPTICAL
Entity type:Organization
Organization Name:C-EYE OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAIMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-651-6001
Mailing Address - Street 1:450 CALLE FERROCARRIL STE 102
Mailing Address - Street 2:SANTA MARIA MEDICAL BUILDING
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-4105
Mailing Address - Country:US
Mailing Address - Phone:787-651-6001
Mailing Address - Fax:
Practice Address - Street 1:450 CALLE FERROCARRIL STE 102
Practice Address - Street 2:SANTA MARIA MEDICAL BUILDING
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0071
Practice Address - Country:US
Practice Address - Phone:787-651-6001
Practice Address - Fax:787-651-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier