Provider Demographics
NPI:1619207784
Name:TWENTY-TWENTY INC
Entity Type:Organization
Organization Name:TWENTY-TWENTY INC
Other - Org Name:EXPRESS OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MITAL
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:630-752-0595
Mailing Address - Street 1:160 DANADA SQ W
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-2041
Mailing Address - Country:US
Mailing Address - Phone:630-752-0595
Mailing Address - Fax:630-752-0145
Practice Address - Street 1:160 DANADA SQ W
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2041
Practice Address - Country:US
Practice Address - Phone:630-752-0595
Practice Address - Fax:630-752-0145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier