ROADRUNNER OPTICAL CORP; NPI #1952482721

Contact Information

ROADRUNNER OPTICAL CORP

377 N MONTEZUMA ST
STE 108A
PRESCOTT, AZ 86301-3020

Phone: 928-445-3808
Fax: 928-778-3559
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for ROADRUNNER OPTICAL CORP

NPI Number 1952482721

LBN Legal business name ROADRUNNER OPTICAL CORP

Authorized official HEIDI BAKER - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/18/2006

Last updated 06/27/2014 - About 12 years ago

Identifiers

AZ	License #	13-046129-A
AZ	Other	3813	AVESIS
AZ	Other	AZ0904090	BLUE CROSS BLUE SHEILD OF
AZ	Other	43017	DAVIS VISION
AZ	Other	110664	EYEMED
AZ	Other	14720	SPECTERA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ROADRUNNER OPTICAL CORP

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for ROADRUNNER OPTICAL CORP

Reviews for ROADRUNNER OPTICAL CORP