NPI 1003552860

Supervista North America

Organisation Eyewear Supplier Miami, FL

Practice location

Address: 7146 SW 117th Ave, Miami, FL 33183
Phone: (786) 776-4573
Mailing address: 16 Technology Dr STE 130, Irvine, CA 92618-2325

Authorised official

Name: Kourosh Zakeri
Title: Coo
Phone: (949) 441-4021

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Florida →

Registry record

NPI: 1003552860
Entity type: Organization
NPI issued: 5 May 2022
Record last updated: 5 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.