JACK RABY OPTICAL (NPI# 1760652291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760652291 |
| Entity Type | Organization |
| Organization Name | JACK RABY OPTICAL |
| Practice Address |
343 Gill St Alcoa TN 37701-2415 |
| Practice Telephone | 8659825317 |
| Practice Fax Number | 8659825935 |
| Mailing Telephone | 8659825317 |
| Mailing Fax Number | 8659825935 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | MR. JACK W RABY II (OWNER) |
| Authorized Official Telephone | 8659825317 |
| Authorized Official Credential | LDO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | DPO 446 | TN | Suppliers |
| Street Address |
343 GILL ST |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801943733 | Jack W Raby | Technician/Technologist | 343 Gill St, Alcoa, TN 37701-2415 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073604807 | The Nowell Corporation | Durable Medical Equipment & Medical Supplies | 327 Gill St, Alcoa, TN 37701-2415 | 2006-09-27 |
| 1033124045 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 225 N Hall Rd, Alcoa, TN 37701-2518 | 2006-07-29 |
| 1265459457 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1030 Hunters Xing, Alcoa, TN 37701-1849 | 2006-07-16 |
| 1659305381 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 244 S Hall Rd, Alcoa, TN 37701-2642 | 2006-07-10 |
| 1093312415 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 205 Corporate Pl, Alcoa, TN 37701-1940 | 2020-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999346 | Izzy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1706 Antioch Pike # A, Antioch, TN 37013-2717 | 2020-10-15 |
| 1144827437 | Gb 3445, LLC | Durable Medical Equipment & Medical Supplies | 10820 Kingston Pike Ste 6, Knoxville, TN 37934-3065 | 2020-10-08 |
| 1386241859 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave Ste 503, Knoxville, TN 37916-1823 | 2020-10-07 |
| 1346851730 | Esight Inc. | Durable Medical Equipment & Medical Supplies | 330 Mallory Station Rd Ste F19, Franklin, TN 37067-2861 | 2020-08-11 |
| 1457961401 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 750 Winfield Dunn Parkway, Suite 100, Sevierville, TN 37876 | 2020-08-05 |
| 1578173944 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1111 Gallatin Ave, Nashville, TN 37206-3201 | 2020-07-31 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1568086049 | Limestone Medical LLC | Durable Medical Equipment & Medical Supplies | 1650 Murfreesboro Rd Ste 155, Franklin, TN 37067-5080 | 2020-06-01 |
| 1619590445 | Wayfarer, Inc. | Durable Medical Equipment & Medical Supplies | 1416 Antioch Pike Ste 101, Antioch, TN 37013-2766 | 2020-05-27 |
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.