DEO PR RETAIL 1 LLC NPI 1881224673

NPI Information

  • NPI: 1881224673
  • Provider Name: DEO PR RETAIL 1 LLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: DEO
  • Address: AVENIDA DE DIEGO
    310 PLAZA DE DIEGO LOCAL 102B
    SAN JUAN, PR
    ZIP 00909
  • Phone: (787) 776-8570

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NPI Details

DEO PR RETAIL 1 LLC is an eyewear supplier in San Juan, PR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DEO PR RETAIL 1 LLC NPI is 1881224673. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deo.

The provider's business location address is:

AVENIDA DE DIEGO
310 PLAZA DE DIEGO LOCAL 102B
SAN JUAN, PR
ZIP 00909
Phone: (787) 776-8570

The provider's authorized official is Gustavo Andres Gautren .
The authorized official title is Dir. Of. Operations and has the following contact phone number (782) 429-6724.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11578111043MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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