Provider Demographics
NPI:1043938756
Name:WASHINGTON OPTICAL, INC
Entity type:Organization
Organization Name:WASHINGTON OPTICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CAIMANO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-222-3937
Mailing Address - Street 1:2107 N FRANKLIN DR STE 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5868
Mailing Address - Country:US
Mailing Address - Phone:724-222-3937
Mailing Address - Fax:724-222-7570
Practice Address - Street 1:2107 N FRANKLIN DR STE 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5868
Practice Address - Country:US
Practice Address - Phone:724-222-3937
Practice Address - Fax:724-222-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier