Provider Demographics
NPI:1326241233
Name:PECH OPTICAL CORP
Entity Type:Organization
Organization Name:PECH OPTICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-277-3937
Mailing Address - Street 1:2717 MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51111
Mailing Address - Country:US
Mailing Address - Phone:712-277-3937
Mailing Address - Fax:800-747-5280
Practice Address - Street 1:2717 MURRAY ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51111
Practice Address - Country:US
Practice Address - Phone:712-277-3937
Practice Address - Fax:800-747-5280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier