Supervista North America

NPI #1174267967 in Chandler, Arizona

Provider Information

NPI Number: 1174267967
Entity Type: Organization
Organization Name: Supervista North America
Subpart: Yes (part of a larger organization)
Parent Organization: SUPERVISTA NORTH AMERICA
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 26, 2022
Last Updated: Apr 26, 2022

Practice Location

Address: 961 W RAY RD
Address 2: SUITE 14
City: Chandler
State: Arizona
ZIP Code: 85225
Phone: (480) 360-2028

Authorized Official

Name: YAIZA ZAMBRANO
Title: COO NORTH AMERICA
Phone: (949) 441-4021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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