Bonavista Optics INC
NPI #1275908642 in Burbank, California
Provider Information
- NPI Number
- 1275908642
- Entity Type
- Organization
- Organization Name
- Bonavista Optics INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 10, 2015
- Last Updated
- May 1, 2017
Practice Location
- Address
- 3900 W ALAMEDA AVE
- Address 2
- SUITE 1200
- City
- Burbank
- State
- California
- ZIP Code
- 91505-4316
- Phone
- (424) 404-5415
Authorized Official
- Name
- MRS. BONNIE J ASHLEY, LABOC, NCLEC
- Title
- PRESIDENT, OPTICIAN
- Phone
- (424) 202-5415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Prosthetic/Orthotic Supplier |
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