| Organization Name: | VILLA OPTOMETRY, INC. |
| NPI Number: | 1558739078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELICA MARIE VILLA (CEO) |
| Mailing Address: | 531 Telegraph Canyon Rd Chula Vista |
| State: | CA US |
| Postal Code: | 919106436 |
| Phone Number: | 6194822020 |
| Fax Number: | 6194822671 |
| NPI Enumeration Date: | 09/15/2015 |
| NPI Last Update Date: | 04/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 10561 T |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |