Provider Demographics
NPI:1700095551
Name:REAL OPTICS INC
Entity Type:Organization
Organization Name:REAL OPTICS INC
Other - Org Name:YOUNKERS VISION AT MERLE HAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISAK
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-244-7740
Mailing Address - Street 1:100 MERLE HAY ROAD
Mailing Address - Street 2:MERLE HAY MALL
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310
Mailing Address - Country:US
Mailing Address - Phone:515-276-8237
Mailing Address - Fax:515-331-4850
Practice Address - Street 1:100 MERLE HAY ROAD
Practice Address - Street 2:MERLE HAY MALL
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310
Practice Address - Country:US
Practice Address - Phone:515-276-8237
Practice Address - Fax:515-331-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier