Organization · Type 2 NPI

Bonavista Optics Inc

Prosthetic/Orthotic Supplier · Burbank, CA

NPI number 1275908642 Active

Practice location

3900 W Alameda Ave, Suite 1200
Burbank, CA 91505-4316

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier 332H00000XSL40477 (CA)
Eyewear Supplier 332H00000XCL8116 (CA)
Eyewear Supplier 332H00000XD70648 (CA)
Prosthetic/Orthotic Supplier 335E00000XCL8116 (CA)
Prosthetic/Orthotic Supplier Primary 335E00000XD70648 (CA)
Prosthetic/Orthotic Supplier 335E00000XSL40477 (CA)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1275908642

Bonavista Optics Inc's National Provider Identifier is 1275908642, issued on Dec 10, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Burbank, CA. The record was last updated on May 1, 2017.