Provider Demographics
NPI:1730783705
Name:RV OPTICS EYE CARE INC
Entity type:Organization
Organization Name:RV OPTICS EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:787-225-6328
Mailing Address - Street 1:19 CALLE ACUARIO SUITE 3
Mailing Address - Street 2:VENUS GARDENS PLAZA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4902
Mailing Address - Country:US
Mailing Address - Phone:939-319-7777
Mailing Address - Fax:
Practice Address - Street 1:19 CALLE ACUARIO SUITE 3
Practice Address - Street 2:VENUS GARDENS PLAZA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4902
Practice Address - Country:US
Practice Address - Phone:939-319-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier