Provider Demographics
NPI:1518178383
Name:OPTOVISION
Entity type:Organization
Organization Name:OPTOVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMERA
Authorized Official - Prefix:DR
Authorized Official - First Name:NORBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDE
Authorized Official - Suffix:SR
Authorized Official - Credentials:DO
Authorized Official - Phone:787-284-7070
Mailing Address - Street 1:1255 PASEO LAS MONJITAS SUITE 133
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4221
Mailing Address - Country:US
Mailing Address - Phone:787-284-7070
Mailing Address - Fax:
Practice Address - Street 1:1255 PASEO LAS MONJITAS SUITE 133
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4221
Practice Address - Country:US
Practice Address - Phone:787-284-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier