Organization
HOLLYSPECTACLES LLC
Active
Other names
HOLLYWOOD SPECTACLES OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN VILLACRUCIS ABOC (ABOC)
(818) 458-6934
Entity
Organization
Contact information
Practice address
454 W COLORADO ST, GLENDALE, CA 91204-1504
(818) 458-6934
Mailing address
454 W COLORADO ST, GLENDALE, CA 91204-1504
(818) 458-6934
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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