Lifestyle Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LIFESTYLE OPTICAL INC

Practice address

16060 Ventura Blvd Ste 106
Encino, CA 91436-4424

Phone

(818) 419-0380

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gadi Libman

Title

Cfo

Phone

(818) 419-0380

Specialties & licenses 1

Addresses

Other names 1

• IQ Optical Doing business as

Locations

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1487249181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16438 VANOWEN ST STE 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064763",
            "telephone_number": "818-419-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16060 VENTURA BLVD STE 106",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364424",
            "telephone_number": "818-419-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "LIBMAN",
        "authorized_official_first_name": "GADI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-419-0380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IQ Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Encino, CA
• Providers in Encino, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.