Provider Demographics
NPI:1033217195
Name:I & N OPTICAL, INC.
Entity type:Organization
Organization Name:I & N OPTICAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAK
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-370-1811
Mailing Address - Street 1:6813 GREEN OAKS RD
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-1713
Mailing Address - Country:US
Mailing Address - Phone:817-731-7434
Mailing Address - Fax:817-738-2043
Practice Address - Street 1:6813 GREEN OAKS RD
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-1713
Practice Address - Country:US
Practice Address - Phone:817-731-7434
Practice Address - Fax:817-738-2043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBLOCK VISIONOther919511