Provider Demographics
NPI:1699983403
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:515-292-0061
Mailing Address - Street 1:223 WELCH AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-7179
Mailing Address - Country:US
Mailing Address - Phone:515-292-0061
Mailing Address - Fax:515-292-0062
Practice Address - Street 1:223 WELCH AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-7179
Practice Address - Country:US
Practice Address - Phone:515-292-0061
Practice Address - Fax:515-292-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier