Roadrunner Optical Corp in Prescott - Eyewear Supplier
Roadrunner Optical Corp - NPI 1952482721
Roadrunner Optical Corp is a Eyewear Supplier in Prescott, Arizona. Roadrunner Optical Corp practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Roadrunner Optical Corp is 1952482721. The last update date is 2014-06-27.
Roadrunner Optical Corp's current location address is 377 N Montezuma St, Prescott, Arizona. You can contact this provider via phone number 9284453808 and fax number 9287783559. The mailing address for Roadrunner Optical Corp is 377 N Montezuma St, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roadrunner Optical Corp |
|---|---|
| Address | 377 N Montezuma St, Prescott, Arizona |
| Phone Number | 9284453808 |
| Fax Number | 9287783559 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Baker Heidi |
| Telephone Number | 9284453808 |
NPI Number Detail
| NPI Number | 1952482721 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2014-06-27 |
Provider Mailing Address Detail
| Address | 377 N Montezuma St |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863013020 |
| Phone Number | 9284453808 |
| Fax Number | 9287783559 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 13-046129-A |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14720 | AZ | SPECTERA | |
| 43017 | AZ | DAVIS VISION | |
| AZ0904090 | AZ | BLUE CROSS BLUE SHEILD OF | |
| 110664 | AZ | EYEMED | |
| 3813 | AZ | AVESIS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Roadrunner Optical Corp by the Centers for Medicare & Medicaid Services?
The Roadrunner Optical Corp has been issued the NPI (National Provider Identifier) 1952482721 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Roadrunner Optical Corp is physically located?
The Roadrunner Optical Corp is situated at the following address: 377 N Montezuma St, Prescott, AZ 863013020.
What is Roadrunner Optical Corp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roadrunner Optical Corp's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952482721 to Roadrunner Optical Corp?
The Roadrunner Optical Corp received its 1952482721 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.
When was the information regarding Roadrunner Optical Corp most recently updated?
The details pertaining to the Roadrunner Optical Corp, including its address, specialty, and other relevant information, were last refreshed on 2014-06-27.