Provider Demographics
NPI:1215173828
Name:EUROPE OPTICAL INC
Entity type:Organization
Organization Name:EUROPE OPTICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:253-839-0600
Mailing Address - Street 1:32020 32ND AVE S
Mailing Address - Street 2:STE 130
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98001-9349
Mailing Address - Country:US
Mailing Address - Phone:253-839-0600
Mailing Address - Fax:253-941-7485
Practice Address - Street 1:32020 32ND AVE S
Practice Address - Street 2:STE 130
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98001-9349
Practice Address - Country:US
Practice Address - Phone:253-839-0600
Practice Address - Fax:253-941-7485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2011152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2013498Medicaid
WAU28362Medicare UPIN
WA2013498Medicaid