O G Bless Vision LLC

NPI #1174275150 in Ponce, Puerto Rico

Provider Information

NPI Number: 1174275150
Entity Type: Organization
Organization Name: O G Bless Vision LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 21, 2022
Last Updated: Jun 29, 2022

Practice Location

Address: BO CANAS CARR 10 KM 0.1
Address 2: LOCAL 9 SHOPPING ECONO MOREL CAMPOS
City: Ponce
State: Puerto Rico
ZIP Code: 00728
Phone: (787) 999-9999

Authorized Official

Name: MRS. GISELLE M MALDONADO, OPTICO LICENCIADO
Title: PROPIETARIA
Phone: (787) 612-9301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X
Eyewear Supplier	332H00000X	Primary

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