Provider Demographics
NPI:1447478177
Name:INTERNATIONAL OPTICAL INC
Entity type:Organization
Organization Name:INTERNATIONAL OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:425-255-1056
Mailing Address - Street 1:17800 TALBOT RD S
Mailing Address - Street 2:SUITE B
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5740
Mailing Address - Country:US
Mailing Address - Phone:425-255-1056
Mailing Address - Fax:425-204-1590
Practice Address - Street 1:17800 TALBOT RD S
Practice Address - Street 2:SUITE B
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5740
Practice Address - Country:US
Practice Address - Phone:425-255-1056
Practice Address - Fax:425-204-1590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier