Provider Demographics
NPI:1356670707
Name:POONAWALA TRADING INC.
Entity Type:Organization
Organization Name:POONAWALA TRADING INC.
Other - Org Name:E-Z OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-568-1171
Mailing Address - Street 1:11690 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3612
Mailing Address - Country:US
Mailing Address - Phone:281-568-1171
Mailing Address - Fax:281-568-3171
Practice Address - Street 1:11690 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3612
Practice Address - Country:US
Practice Address - Phone:281-568-1171
Practice Address - Fax:281-568-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDR3901156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty