Provider Demographics
NPI:1255916045
Name:OPTICAL BEAUTIFUL EYES BY CELY
Entity type:Organization
Organization Name:OPTICAL BEAUTIFUL EYES BY CELY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-689-7474
Mailing Address - Street 1:URB PRADERAS DE NAVARRO 93
Mailing Address - Street 2:CALLE CINABRIO H1
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-689-7474
Mailing Address - Fax:
Practice Address - Street 1:CENTRO BELLAS ARTES DE CAGUAS
Practice Address - Street 2:CALLE PADIAL EST RUIZ BELVIS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-689-7474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier