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DEO
NPI 1881224673
Eyewear Supplier in San Juan, PR

Active since January 21, 2020
AVENIDA DE DIEGO, 310 PLAZA DE DIEGO LOCAL 102B, SAN JUAN, PR 00909(787) 776-8570 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2023, Apr 17, 2020, Mar 13, 2020 and 1 more (4 updates tracked since 2020).

About Deo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEO (NPI 1881224673) is a healthcare organization registered as an eyewear supplier in San Juan, Puerto Rico and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Caguas and lists Gustavo Andres Gautren, Dir. Of. Operations, as its authorized official.

NPPES Registry Identity

NPI1881224673
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDEO PR RETAIL 1 LLC
Location AddressAVENIDA DE DIEGO, 310 PLAZA DE DIEGO LOCAL 102BSan Juan, PR 00909
Mailing Address162 Montague St Apt 2Brooklyn, NY 11201-3506 · (646) 512-0313
Phone(787) 776-8570
Organization SubpartYesParent: Shalem Consumer Brands
Authorized OfficialGustavo Andres GautrenDir. Of. Operations · (782) 429-6724
Enumeration DateJanuary 21, 2020
Last NPPES UpdateOctober 10, 20234 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1881224673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X

Other Names 1

Doing Business AsDeo

Secondary Practice Location 1

Location 1270 PR-52Caguas, PR 00725 · Phone (646) 512-0313

Other Identifiers 1

Medicaid1578111043NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deo Pr Retail 1 LLC's NPI number?

The NPI number for Deo Pr Retail 1 LLC is 1881224673. It was assigned to this organization in the NPPES registry on January 21, 2020. The provider is doing business as Deo.

Where is Deo Pr Retail 1 LLC located?

Deo Pr Retail 1 LLC is located at Avenida De Diego 310 Plaza De Diego Local 102B, San Juan, PR 00909. The listed phone number is (787) 776-8570.

What is Deo Pr Retail 1 LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Deo Pr Retail 1 LLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.