Organization
EYE SIGHT OPTICIAN, INC.
Active
Other names
Trendy Sunglasses
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE M FOULADIAN FNAO OPTICIAN (OPTICIAN OWNER CEO)
(310) 545-4090
Entity
Organization
Contact information
Practice address
223 MANHATTAN BEACH BLVD, MANHATTAN BEACH, CA 90266
(310) 545-4090
(310) 545-2252
Mailing address
223 MANHATTAN BEACH BLVD, MANHATTAN BEACH, CA 90266
(310) 545-4090
(310) 545-2252
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
CL102
CA
156FX1800X
Optician
Primary
SL198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222831472
—
CA
01
—
SRYAB16680406000
RESALE NUMBER
CA
Enumeration date
01/22/2007
Last updated
06/11/2008
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