MEDICARE: MILANO OPTICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1508259656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILANO OPTICAL

Provider Business Mailing Address
First Line	:	2837 W OLYMPIC BLVD # A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2611
Country	:	US
Telephone Number	:	213-531-7777
Fax Number	:

Provider Business Practice Location Address
First Line	:	2837 W OLYMPIC BLVD # A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2611
Country	:	US
Telephone Number	:	213-531-7777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SIMON KWANG SHEEN
Credential	:
Telephone Number	:	213-521-7777

Provider Enumeration Date	:	03/13/2015
Last Update Date	:	03/13/2015

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Directions to “MILANO OPTICAL ” Practice Location

Language	Start Address	Practice Location

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