Provider Demographics
NPI:1720131881
Name:PARIS MIKI INC.
Entity Type:Organization
Organization Name:PARIS MIKI INC.
Other - Org Name:OPTICAL ILLUSIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITSAYOSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOGABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-883-2464
Mailing Address - Street 1:15600 NE 8TH ST .
Mailing Address - Street 2:#F13A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008
Mailing Address - Country:US
Mailing Address - Phone:425-641-7311
Mailing Address - Fax:425-641-7482
Practice Address - Street 1:15600 NE 8TH ST .
Practice Address - Street 2:#F13A
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008
Practice Address - Country:US
Practice Address - Phone:425-641-7311
Practice Address - Fax:425-641-7482
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARIS MIKI INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-19
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601920683156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty