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ROADRUNNER OPTICAL CORP NPI 1952482721


NPI Information

NPI: 1952482721
Provider Name: ROADRUNNER OPTICAL CORP
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
377 N MONTEZUMA ST
STE 108A
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-3808
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ROADRUNNER OPTICAL CORP is an eyewear supplier in Prescott, AZ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ROADRUNNER OPTICAL CORP NPI is 1952482721. The provider is registered as an organization entity type.

The provider's business location address is:

377 N MONTEZUMA ST
STE 108A
PRESCOTT, AZ
ZIP 86301-020
Phone: (928) 445-3808
Fax: (928) 778-3559

The provider's authorized official is Heidi Baker .
The authorized official title is Manager and has the following contact phone number (928) 445-3808.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier13-046129-AARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERARIZONAVISION CARE PLAN
2Z165193MEDICARE PINARIZONA
343017OTHERARIZONADAVIS VISION
4=========OTHERARIZONASIGHTCARE
53813OTHERARIZONAAVESIS
6=========OTHERARIZONAVISION CARE DIRECT
7110664OTHERARIZONAEYEMED
8AZ0904090OTHERARIZONABLUE CROSS BLUE SHEILD OF
9=========OTHERARIZONAVISION SERVICE PLAN
1014720OTHERARIZONASPECTERA
114739630001MEDICARE NSCARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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