Organization
GLENVIEW OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ALVARDO D.O. (OWNER/OPTICIAN)
(818) 247-5910
Entity
Organization
Contact information
Practice address
515 N CENTRAL AVE, GLENDALE, CA 91203-3388
(818) 247-5910
(818) 247-5919
Mailing address
515 N CENTRAL AVE, GLENDALE, CA 91203-3388
(818) 247-5910
(818) 247-5919
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
SL74
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74745Z
—
CA
Enumeration date
11/30/2012
Last updated
11/30/2012
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