American Vision Lab Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

AMERICAN VISION LAB INC

Practice address

9051 Van Nuys Blvd Ste 1a
Panorama City, CA 91402-1858

Phone

(818) 830-5900

Fax

(818) 830-5975

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luis Silva, SLD, RDO

Title

Owner/Optician

Phone

(818) 830-5900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1265255608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 VAN NUYS BLVD STE 1A",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021858",
            "telephone_number": "818-830-5900",
            "fax_number": "818-830-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 VAN NUYS BLVD STE 1A",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021858",
            "telephone_number": "818-830-5900",
            "fax_number": "818-830-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN VISION LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "818-830-5900",
        "authorized_official_credential": "SLD, RDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.