KCM OPTICAL INC EYE CENTER BOUTIQUE
Organization (NPI-2)
Active
Eyewear Supplier (Equipment, not the service)
Provider Information
- NPI Number
1316317555- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 119 TRIGAL PLZ STE 4, MANATI, PR, 006745518
- Phone
- (787) 884-5924
- Fax
- (787) 854-4407
Specialties & Taxonomies
Eyewear Supplier (Equipment, not the service)
License: PR #2015055550PUS076357
Eyewear Supplier (Equipment, not the service)
Primary License: PR #06222780019