Provider Demographics
NPI:1427488543
Name:BARRETO EYE CLINIC
Entity type:Organization
Organization Name:BARRETO EYE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:LIZ
Authorized Official - Last Name:BARRETO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-900-3316
Mailing Address - Street 1:PO BOX 713
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0713
Mailing Address - Country:US
Mailing Address - Phone:787-900-3316
Mailing Address - Fax:
Practice Address - Street 1:71 CALLE BLANCO SOSA
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3235
Practice Address - Country:US
Practice Address - Phone:787-900-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR629152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty