Provider Demographics
NPI:1790025583
Name:RPM VISION INDUSTRIES
Entity Type:Organization
Organization Name:RPM VISION INDUSTRIES
Other - Org Name:IMAGINE EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-695-6259
Mailing Address - Street 1:4400 N MIDLAND DR STE 403
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-3388
Mailing Address - Country:US
Mailing Address - Phone:432-695-6259
Mailing Address - Fax:432-695-6260
Practice Address - Street 1:4400 N MIDLAND DR STE 403
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-3388
Practice Address - Country:US
Practice Address - Phone:432-695-6259
Practice Address - Fax:432-695-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier