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Organization

SUPERVISTA NORTH AMERICA

Active
Parent organization
SUPERVISTA NORTH AMERICA
Other names
brillen.com
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUPERVISTA NORTH AMERICA
Authorized official
KOUROSH ZAKERI (COO NORTH AMERICA)
(949) 966-0416
Entity
Organization

Contact information

Practice address
2015 BIRCH RD, SPACE 1007, OTAY RANCH TOWN CENTER, CHULA VISTA, CA 91915
(619) 864-7138
Mailing address
16 TECHNOLOGY DR STE 130, IRVINE, CA 92618-2325
(949) 441-4021

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/30/2021
Last updated
04/30/2021
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