Kcm Optical INC Eye Center Boutique
Eyewear Supplier (Equipment, not the service) in Manati, Puerto Rico
1316317555- Practice location
- 119 Trigal Plz Ste 4, Manati, PR 00674-5518
- Phone
- 787-884-5924
- Fax
- 787-854-4407
- Last updated
- September 30, 2015
Kcm Optical INC Eye Center Boutique is a healthcare organization based in Manati, PR. Kcm Optical INC Eye Center Boutique practices in Manati, PR. The NPI Number for Kcm Optical INC Eye Center Boutique is 1316317555 and holds a License No. 2015055550PUS076357 (PR). The current practice location address for Kcm Optical INC Eye Center Boutique is 119 Trigal Plz Ste 4, Manati, PR 00674-5518 and can be reached out via phone at 787-884-5924 and via fax at 787-854-4407.
Provider Profile Details
- NPI Number
- 1316317555
- Provider Name
- Kcm Optical INC Eye Center Boutique
- Provider Entity Type
- Organization
- Address
- 119 Trigal Plz Ste 4, Manati, PR 00674-5518
- Phone Number
- 787-884-5924
- Fax Number
- 787-854-4407
- Primary Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Othoniel Garcia, O · President · 787-344-6192
- Provider Enumeration Date
- September 30, 2015
- Last Update Date
- September 30, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Trigal Plz Ste 4
Manati, PR 00674-5518 - City
- Manati
- State
- Puerto Rico
- Zip
- 00674-5518
- Phone Number
- 787-884-5924
- Fax Number
- 787-854-4407
Provider Business Mailing Address Details
- Address
- 600 Calle Turin
Vega Baja, PR 00693-3604 - City
- Vega Baja
- State
- PR
- Zip
- 00693-3604
- Phone Number
- 787-884-5924
- Fax Number
- 787-854-4407
License Information
- License Number (1)
- 2015055550PUS076357
- License State (1)
- PR
- Taxonomy (1)
- Eyewear Supplier (Equipment, not the service) · 332H00000X
- License Number (2)
- 06222780019
- License State (2)
- PR
- Taxonomy (2)
- Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kcm Optical INC Eye Center Boutique?
The NPI number of Kcm Optical INC Eye Center Boutique is 1316317555. It was assigned on September 30, 2015 and is currently active in the NPPES registry.
What is the specialty of Kcm Optical INC Eye Center Boutique?
Kcm Optical INC Eye Center Boutique is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X), licensed in PR under license number 2015055550PUS076357.
Where does Kcm Optical INC Eye Center Boutique practice?
The practice location is 119 Trigal Plz Ste 4, Manati, PR 00674-5518. The office can be reached at 787-884-5924 (phone) or 787-854-4407 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316317555 directly on the NPPES registry website.