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Contact Information

SUPERVISTA NORTH AMERICA
2015 BIRCH RD, SPACE 1007
OTAY RANCH TOWN CENTER
CHULA VISTA, CA91915
 Phone: 619-864-7138
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SUPERVISTA NORTH AMERICA

NPI # 1316520042
LBN Legal business name SUPERVISTA NORTH AMERICA
Authorized official KOUROSH ZAKERI - (COO NORTH AMERICA)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/30/2021
Last updated 04/30/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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