Organization
S.P. OPTICAL DISPENSING LABORATORY, INC.
Active
Other names
S.P. Optical
Organization subpart
No
Provider details
NPI number
Authorized official
PAT SALAZAR (CEO)
(760) 631-0270
Entity
Organization
Contact information
Practice address
1998 HACIENDA DR, VISTA, CA 92081-6026
(760) 631-0270
(760) 631-0272
Mailing address
1998 HACIENDA DR, VISTA, CA 92081-6026
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
BL55683269
CA
Other
Enumeration date
07/25/2007
Last updated
05/12/2009
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