Provider Demographics
NPI:1629386669
Name:KAVI OPTICAL LTD
Entity Type:Organization
Organization Name:KAVI OPTICAL LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KARUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-548-8710
Mailing Address - Street 1:1681 N CENTRAL EXPY STE 400
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3140
Mailing Address - Country:US
Mailing Address - Phone:972-548-8710
Mailing Address - Fax:972-548-9349
Practice Address - Street 1:1681 N CENTRAL EXPY STE 400
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3140
Practice Address - Country:US
Practice Address - Phone:972-548-8710
Practice Address - Fax:972-548-9349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier