Roadrunner Optical Corp

LBN: Roadrunner Optical Corp
Roadrunner Optical Corp is an health care organization with primary practice located at 377 N Montezuma St Ste 108A, Prescott AZ 86301-3020. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Roadrunner Optical Corp can be contacted via phone (928) 445-3808, or through Baker, Heidi via phone (928) 445-3808.

Contact Information

Primary practice address
377 N Montezuma St Ste 108A Prescott AZ 86301-3020
Phone: (928) 445-3808
Fax: (928) 778-3559
Website:
Map and Directions
Authorized official contact:
Name: Baker, Heidi
Phone: (928) 445-3808

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 13-046129-A Arizona

Profile Details

NPI number 1952482721
LBN Legal business name Roadrunner Optical Corp
DBA Doing business as
Authorized official Baker, Heidi
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952482721 NPPES
Arizona Other 14720 SPECTERA
Arizona Other 43017 SPECTERA
Arizona Other AZ0904090 SPECTERA
Arizona Other 110664 SPECTERA
Arizona Other 3813 SPECTERA

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