ROADRUNNER OPTICAL CORP (NPI# 1952482721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952482721 |
| Entity Type | Organization |
| Organization Name | ROADRUNNER OPTICAL CORP |
| Practice Address |
377 N Montezuma St Ste 108a Prescott AZ 86301-3020 |
| Practice Telephone | 9284453808 |
| Practice Fax Number | 9287783559 |
| Mailing Telephone | 9284453808 |
| Mailing Fax Number | 9287783559 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | MRS. HEIDI BAKER (MANAGER) |
| Authorized Official Telephone | 9284453808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 13-046129-A | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | SPECTERA | 14720 | 01 |
| AZ | EYEMED | 110664 | 01 |
| AZ | AVESIS | 3813 | 01 |
| AZ | DAVIS VISION | 43017 | 01 |
| AZ | BLUE CROSS BLUE SHEILD OF | AZ0904090 | 01 |
| Street Address |
377 N MONTEZUMA ST STE 108A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790823128 | Affordable Oxygen & Medical Supply. LLC | Durable Medical Equipment & Medical Supplies | 377 N Montezuma St, Ste 111, Prescott, AZ 86301-3020 | 2007-02-01 |
| 1427139278 | Jennifer Dawn Sarmiento | Optometrist | 377 N Montezuma St, Ste108a, Prescott, AZ 86301-3020 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841680121 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3911 Hwy 69, Prescott, AZ 86301 | 2015-01-26 |
| 1356496269 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3250 Gateway Blvd Ste 152, Prescott, AZ 86303 | 2007-01-24 |
| 1083668073 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3050 E Highway 69, Prescott, AZ 86301-6740 | 2006-05-22 |
| 1194999722 | John R. Markham PC | Eyewear Supplier (Equipment, not the service) | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2008-04-15 |
| 1578611810 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3400 Gateway Blvd, Gateway Mall, Prescott, AZ 86303-6848 | 2007-01-05 |
| 1720046436 | Central Arizona Eye Clinic P.C. | Eyewear Supplier (Equipment, not the service) | 1022 Willow Creek Rd, Suite 200, Prescott, AZ 86301-1607 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652359 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7014 E Camelback Rd Ste 156, Scottsdale, AZ 85251-1227 | 2020-02-26 |
| 1134760937 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 302 E Bell Rd Ste 150, Phoenix, AZ 85022-2434 | 2019-10-02 |
| 1831678127 | Thundercloud Optical | Eyewear Supplier (Equipment, not the service) | 4515 N 16th St Ste 112, Phoenix, AZ 85016-5362 | 2018-08-08 |
| 1396262614 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 15257 N Scottsdale Rd, Scottsdale, AZ 85254-2490 | 2017-08-28 |
| 1689102923 | Van Buren Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1130 E Missouri Ave Ste 110, Phoenix, AZ 85014-2712 | 2017-05-31 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1184175416 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 15033 W Bell Rd Ste 150, Surprise, AZ 85374-3262 | 2016-10-21 |
| 1750832721 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7600 W Arrowhead Towne Ctr, Glendale, AZ 85308 | 2016-10-14 |
| 1346790094 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1979 E 16th St, Yuma, AZ 85365-2122 | 2016-10-06 |
| 1396294583 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2403 N Stockton Hill Rd, Suite 1, Kingman, AZ 86401-4188 | 2016-09-28 |
| 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.