RETTOC OPTICAL SERVICE NPI 1982700043

NPI Information

  • NPI: 1982700043
  • Provider Name: RETTOC OPTICAL SERVICE
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: PARKWAY OPTICAL
  • Address: 80 BROADWAY
    REVERE, MA
    ZIP 02151
  • Phone: (781) 289-7929

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NPI Details

RETTOC OPTICAL SERVICE is an eyewear supplier in Revere, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. RETTOC OPTICAL SERVICE NPI is 1982700043. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkway Optical.

The provider's business location address is:

80 BROADWAY
REVERE, MA
ZIP 02151-305
Phone: (781) 289-7929

The provider's authorized official is Janis M Cotter .
The authorized official title is President and has the following contact phone number (781) 289-7929.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 9/4/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier3044MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000Q03964OTHERMASSACHUSETTSBCBS/MEDEX/RETTOC
21511327MEDICAIDMASSACHUSETTS
30451750001MEDICARE NSCMASSACHUSETTS
4000122654OTHERMASSACHUSETTSBLUE CROSS/MEDEX/PARKWAY
5CQ029OTHERNEW YORKEMPIRE BCBS

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: 11/21/2025

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