NPI 1174267967

Supervista North America

Organisation Eyewear Supplier Chandler, AZ

Practice location

Address: 961 W Ray Rd Suite 14, Chandler, AZ 85225
Phone: (480) 360-2028
Mailing address: 16 Technology Dr STE 130, Irvine, CA 92618-2325

Authorised official

Name: Yaiza Zambrano
Title: Coo North America
Phone: (949) 441-4021

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

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Registry record

NPI: 1174267967
Entity type: Organization
NPI issued: 26 Apr 2022
Record last updated: 26 Apr 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.