Organization
LIFESTYLE OPTICAL INC
Active
Other names
IQ Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GADI LIBMAN (CFO)
(818) 419-0380
Entity
Organization
Contact information
Practice address
16060 VENTURA BLVD STE 106, ENCINO, CA 91436-4424
(818) 419-0380
Mailing address
16438 VANOWEN ST STE 210, VAN NUYS, CA 91406-4763
(818) 419-0380
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/05/2021
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