Wizard Of Eyes Optical
Non-Pharmacy Dispensing Site in Encino, CA. Organization (NPI-2).
NPI number1235680802
StatusActive
Last updated in NPPESOct 19, 2016
Details
- NPI
- 1235680802
- Entity type
- Organization (NPI-2)
- Legal business name
- Wizard Of Eyes Optical
- Organization subpart
- No
- Enumeration date
- Oct 19, 2016
- Last updated
- Oct 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
17205 Ventura Blvd Unit AEncino, CA 91316-4007
Phone 818-784-3333 · Fax 818-783-4438
Mailing address
17205 Ventura Blvd Unit AEncino, CA 91316-4007
Phone 818-784-3333
Authorized official
Jason Ned Weiser
Owner
8187843333
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