Organization
LIVE OPTICS, FAMILY BOUTIQUE
Active
Parent organization
LIVE OPTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVE OPTICS
Authorized official
EDITH C LIVELO RDO (CEO/ OPTICIAN)
(510) 494-8880
Entity
Organization
Contact information
Practice address
39159 PASEO PADRE PKWY STE 117, FREMONT, CA 94538-1600
(510) 494-8880
(510) 494-8882
Mailing address
39159 PASEO PADRE PKWY STE 117, FREMONT, CA 94538-1600
(510) 494-8880
(510) 494-8882
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D 6765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX006765F
—
CA
Enumeration date
02/24/2009
Last updated
02/24/2009
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