S.P. Optical Dispensing Laboratory, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

BL55683269 Issued in CA

Legal business name

S.P. OPTICAL DISPENSING LABORATORY, INC.

Practice address

1998 Hacienda Dr
Vista, CA 92081-6026

Phone

(760) 631-0270

Fax

(760) 631-0272

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Pat Salazar

Title

Ceo

Phone

(760) 631-0270

Specialties & licenses 1

Addresses

Other names 1

• S.P. Optical Doing business as

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1932399003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816026",
            "telephone_number": "760-631-0270",
            "fax_number": "760-631-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.P. OPTICAL DISPENSING LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-631-0270"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "BL55683269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.P. Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.