Organization
SP SPECTACLES
Active
Other names
site for sore eyes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX R BEZVERKH (PRESIDENT)
(650) 347-1500
Entity
Organization
Contact information
Practice address
115 E 3RD AVE, SAN MATEO, CA 94401-4012
(650) 347-1500
(650) 347-1023
Mailing address
115 E 3RD AVE, SAN MATEO, CA 94401-4012
(650) 347-1500
(650) 374-1023
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
164571
CA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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