Provider Demographics
NPI:1508259656
Name:MILANO OPTICAL
Entity Type:Organization
Organization Name:MILANO OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:KWANG
Authorized Official - Last Name:SHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-521-7777
Mailing Address - Street 1:2837 W OLYMPIC BLVD # A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2611
Mailing Address - Country:US
Mailing Address - Phone:213-531-7777
Mailing Address - Fax:
Practice Address - Street 1:2837 W OLYMPIC BLVD # A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2611
Practice Address - Country:US
Practice Address - Phone:213-531-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier