Western Optical Outlet, INC

NPI #1083613988 in Hormigueros, Puerto Rico

Provider Information

NPI Number: 1083613988
Entity Type: Organization
Organization Name: Western Optical Outlet, INC
Primary Specialty: Optometrist
Enumeration Date: Jul 21, 2005
Last Updated: Aug 1, 2012

Practice Location

Address: 164 CARR 2
Address 2: PLAZA MONSERRATE 1 LOCAL 1
City: Hormigueros
State: Puerto Rico
ZIP Code: 00660-1400
Phone: (787) 849-0303

Authorized Official

Name: DR. LIZA COLON, OD
Title: PRESIDENT
Phone: (787) 849-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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