Provider Demographics
NPI:1285961003
Name:HOPE OPTICAL INC.
Entity type:Organization
Organization Name:HOPE OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-267-6621
Mailing Address - Street 1:713 SOUTH BUFFALO STREET
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-4312
Mailing Address - Country:US
Mailing Address - Phone:574-267-6621
Mailing Address - Fax:574-267-6671
Practice Address - Street 1:713 SOUTH BUFFALO STREET
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-4312
Practice Address - Country:US
Practice Address - Phone:574-267-6621
Practice Address - Fax:574-267-6671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty