Organization
OPTIC OPTIONS VISION PRODUCTS INC
Active
Other names
Site for Sore Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SHASHATI (PROFESSIONAL SERVICES)
(858) 414-3513
Entity
Organization
Contact information
Practice address
1095 ROSEVILLE SQ, ROSEVILLE, CA 95678-2809
(916) 782-9985
Mailing address
1095 ROSEVILLE SQ, ROSEVILLE, CA 95678-2809
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
OPTICAL
—
Enumeration date
07/12/2021
Last updated
07/12/2021
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