Organization
WIZARD OF EYES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON NED WEISER OPTICAN (OWNER)
(818) 784-3333
Entity
Organization
Contact information
Practice address
17205 VENTURA BLVD UNIT A, ENCINO, CA 91316-4007
(818) 784-3333
(818) 783-4438
Mailing address
17205 VENTURA BLVD UNIT A, ENCINO, CA 91316-4007
(818) 784-3333
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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