Supervista North America
NPI #1902489628 in Laguna Hills, California
Provider Information
- NPI Number
- 1902489628
- 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 30, 2021
- Last Updated
- Apr 30, 2021
Practice Location
- Address
- 24012 AVENIDA DE LA CARLOTA ,STE G
- City
- Laguna Hills
- State
- California
- ZIP Code
- 92653-9265
- Phone
- (949) 237-7670
Authorized Official
- Name
- KOUROSH ZAKERI
- Title
- COO NORTH AMERICA
- Phone
- (949) 441-4021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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