Provider Demographics
NPI:1033514245
Name:PAUL'S OPHTHALMICS CORP
Entity type:Organization
Organization Name:PAUL'S OPHTHALMICS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER LONGORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-466-1049
Mailing Address - Street 1:PO BOX 3099
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-3099
Mailing Address - Country:US
Mailing Address - Phone:787-466-1049
Mailing Address - Fax:939-214-7128
Practice Address - Street 1:C 13 CALLE 5 LA PARGUERA
Practice Address - Street 2:URB VILLAS DE LA BAHIA
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667
Practice Address - Country:US
Practice Address - Phone:787-466-1049
Practice Address - Fax:939-214-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier