Organization
SUPERVISTA NORTH AMERICA
Active
Parent organization
SUPERVISTA NORTH AMERICA
Other names
brillen.com #024140
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPERVISTA NORTH AMERICA
Authorized official
YAIZA ZAMBRANO (COO NORTH AMERICA)
(949) 441-4021
Entity
Organization
Contact information
Practice address
9301 TAMPA AVENUE, SUITE 206, LOS ANGELES, CA 91324-9132
(213) 995-6112
Mailing address
16 TECHNOLOGY DR STE 130, IRVINE, CA 92618-2325
(949) 441-4021
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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