NPI 1952482721

Roadrunner Optical Corp

Organisation Eyewear Supplier Prescott, AZ

Practice location

Address: 377 N Montezuma St STE 108a, Prescott, AZ 86301-3020
Phone: (928) 445-3808
Fax: (928) 778-3559

Authorised official

Name: Heidi Baker
Title: Manager
Phone: (928) 445-3808

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 13-046129-A (AZ)

Other Eyewear Supplier providers in Arizona →

Registry record

NPI: 1952482721
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 27 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.