NPI 1518601319

Supervista North America

Organisation Eyewear Supplier Burbank, CA

Practice location

Address: 3524 W Magnolia Blvd, Burbank, CA 91505
Phone: (818) 578-4075
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

Other Eyewear Supplier providers in California →

Registry record

NPI: 1518601319
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.