DEO PR RETAIL 1 LLC (NPI# 1881224673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881224673 |
| Entity Type | Organization |
| Organization Name | DEO PR RETAIL 1 LLC |
| Other Organization Name | DEO |
| Practice Address |
Plaza Carolina Carolina PR 00983-0098 |
| Mailing Address |
162 Montague St Apt 2 Brooklyn NY 11201-3506 |
| Practice Telephone | 7877768570 |
| Mailing Telephone | 6465120313 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | MS. DANIELLA HARTMAN (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Telephone | 6465120313 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHALEM CONSUMER BRANDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1578111043 | 05 |
| Other Name | Type Code |
|---|---|
| deo | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 270 Pr-52, Caguas, PR 00725 | 6465120313 |
| Street Address |
PLAZA CAROLINA |
| City | CAROLINA |
| State | PR |
| Zip Code | 00983-0098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548522 | Barakah Two Thousands Drug LLC | Pharmacy | Ave Campo Rico, Esq Ave Fidalgo Diaz, Sabana Gardens, Carolina, PR 00983 | 2020-11-04 |
| 1255945598 | Jessica Carrion | Physical Medicine & Rehabilitation | Via 16 Villa Fontana, Jr 8, Carolina, PR 00983 | 2020-09-03 |
| 1184233298 | Kassandra Velez | Physical Medicine & Rehabilitation | Villa Fontana Via 16, Jr 8, Carolina, PR 00983 | 2020-07-24 |
| 1639794159 | Jannelle Feliciano | Psychologist | Avenida Fidalgo Diaz, #cl3 Via Emilia, Villa Fontana, Carolina, PR 00983 | 2020-06-10 |
| 1972143113 | Yarissa M Tolentino Felix | Counselor | Universidad Ana G. Mendez, Edificio Kingbird Innovation Center Suite 4, Carolina, PR 00983 | 2020-01-15 |
| 1295374189 | Rey Jose Santiago-crespo | Pharmacist | 65th Infantry/jesus Fragoso, Carolina, PR 00983 | 2019-12-26 |
| 1598301814 | Dayana Marie Santiago Tristani | Pharmacist | 65 Infanteria & Avenida Fragoso, Carolina, PR 00983 | 2019-11-21 |
| 1578111043 | Shalem Consumer Brands | Eyewear Supplier (Equipment, not the service) | Avenida JesÚs M. Fragoso, Carolina, PR 00983 | 2019-08-28 |
| 1366098766 | Jeremy Swan Rodriguez Camejo | Psychologist | Bf21 Calle 110, Jardines De Country Club, Carolina, PR 00983 | 2019-08-13 |
| 1750849287 | Pro Audiology Solutions, LLC | Clinic/Center | Urbanizacion Villa Fontana, 2al Calle 6 114 Via 6, Carolina, PR 00983 | 2019-03-04 |
| Find all providers in zip 00983 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578111043 | Shalem Consumer Brands | Eyewear Supplier (Equipment, not the service) | Avenida JesÚs M. Fragoso, Carolina, PR 00983 | 2019-08-28 |
| 1598268054 | Toperbee Corporation | Eyewear Supplier (Equipment, not the service) | 200 Ave Fragoso Ste 157, Carolina, PR 00983-3172 | 2018-03-12 |
| 1114453537 | Solo Optica 2 | Eyewear Supplier (Equipment, not the service) | Marginal Baldorioty De Castro Centro Comercial Laguna, Garden Suite 101-a, Carolina, PR 00979 | 2017-05-04 |
| 1558744375 | Maura Stabile | Eyewear Supplier (Equipment, not the service) | Calle Manuela Walker A-26 #2, Urb Rolling Hills, Carr 860, Carolina, PR 00987 | 2015-06-30 |
| 1891026001 | Sam's Club #4806 | Eyewear Supplier (Equipment, not the service) | Carr #3 Km 15.2, Bo. Canovanilla, Carolina, PR 00979 | 2010-01-28 |
| 1629230321 | Professional Eye Care Inc | Eyewear Supplier (Equipment, not the service) | Carolina Shopp Ctr # 245, Fragoso Avenue, Carolina, PR 00985-5672 | 2008-06-25 |
| 1033324413 | Isis Fine Vision Services Inc | Eyewear Supplier (Equipment, not the service) | Via Mirta 3 Fs 1, Villa Fontana, Carolina, PR 00988-9419 | 2007-05-11 |
| 1518000579 | Insight Optical | Eyewear Supplier (Equipment, not the service) | Jesus Fragaso Ave Hwy 3 Loiza Hwy, Carolina, PR 00985 | 2007-02-15 |
| 1194870931 | Pearle Vision Center of Puerto Rico, Inc | Eyewear Supplier (Equipment, not the service) | Local 245, Plaza Carolina Mall 2nd Level, Carolina, PR 00988-9567 | 2007-01-24 |
| 1740334903 | Ohi of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 157 Plaza Carolina, Baldorioty De Castro-exp, Carolina, PR 00985 | 2007-01-23 |
| Find all providers in CAROLINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.