NPI 1316520042

Supervista North America

Organisation Eyewear Supplier Chula Vista, CA

Practice location

Address: 2015 Birch Rd, Space 1007 Otay Ranch Town Center, Chula Vista, CA 91915
Phone: (619) 864-7138
Mailing address: 16 Technology Dr STE 130, Irvine, CA 92618-2325

Authorised official

Name: Kourosh Zakeri
Title: Coo North America
Phone: (949) 966-0416

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in California →

Registry record

NPI: 1316520042
Entity type: Organization
NPI issued: 30 Apr 2021
Record last updated: 30 Apr 2021

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.