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: July 26, 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 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
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

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 with the weekly NPPES data releases published by CMS.