Organization
GLAZE OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY MARIO ESPOSITO (CEO)
(805) 630-7375
Entity
Organization
Contact information
Practice address
2275 MICHAEL FARADAY DR STE 4, SAN DIEGO, CA 92154-7927
(805) 630-7375
Mailing address
186 E RADCLIFFE DR, CLAREMONT, CA 91711-2832
(805) 630-7375
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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