New Vision Medical Diagnostic Optic

NPI #1679876882 in Bayamon, Puerto Rico

Provider Information

NPI Number: 1679876882
Entity Type: Organization
Organization Name: New Vision Medical Diagnostic Optic
Subpart: Yes (part of a larger organization)
Parent Organization: NEW VISION MEDICAL DIAGNOSTIC INC
Primary Specialty: Optometrist
Enumeration Date: Dec 9, 2010
Last Updated: Dec 9, 2010

Practice Location

Address: BAYAMON MEDICAL MALL # J23
City: Bayamon
State: Puerto Rico
ZIP Code: 00959-7200
Phone: (787) 778-5353

Authorized Official

Name: JOSE VARGAS RODRIGUEZ
Title: PRESIDENT
Phone: (787) 778-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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