Provider Demographics
NPI:1285843037
Name:REAL OPTICS INC
Entity type:Organization
Organization Name:REAL OPTICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAK
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-244-7740
Mailing Address - Street 1:1111 N QUINCY AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-3864
Mailing Address - Country:US
Mailing Address - Phone:641-682-9822
Mailing Address - Fax:641-682-9744
Practice Address - Street 1:1111 N QUINCY AVE STE 121
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-3864
Practice Address - Country:US
Practice Address - Phone:641-682-9822
Practice Address - Fax:641-682-9744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier