institution
Roadrunner Optical Corp
Eyewear Supplier in Prescott, Arizona
NPI 1952482721

Roadrunner Optical Corp is a Eyewear Supplier based in Prescott, AZ. Roadrunner Optical Corp practices in Prescott, AZ. The NPI Number for Roadrunner Optical Corp is 1952482721 and holds a License No. 13-046129-A (Arizona).

The current practice location address for Roadrunner Optical Corp is 377 N Montezuma St, Prescott, AZ and can be reached out via phone at 928-445-3808 and via fax at 928-778-3559.

Location: 377 N Montezuma St, Prescott, AZ, 86301-3020
institution
Provider Profile Details
NPI Number
1952482721
Provider Name
Roadrunner Optical Corp
Credential
Provider Entity Type
Organization
Address
377 N Montezuma St, Prescott, AZ, 86301-3020
Phone Number
928-445-3808
Fax Number
928-778-3559
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14720 01 AZ SPECTERA
43017 01 AZ DAVIS VISION
AZ0904090 01 AZ BLUE CROSS BLUE SHEILD OF
110664 01 AZ EYEMED
3813 01 AZ AVESIS
institution
Provider Business Practice Location Address Details
Address
377 N Montezuma St
City
State
Zip
86301-3020
Phone Number
928-445-3808
Fax Number
928-778-3559
person
Provider Business Mailing Address Details
Address
377 N Montezuma St
City
State
Zip
86301-3020
Phone Number
928-445-3808
Fax Number
928-778-3559
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
13-046129-A (Arizona)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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