1700921517 NPI number — R & R VISION, LTD.

Table of content: (NPI 1700921517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700921517 NPI number — R & R VISION, LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
R & R VISION, LTD.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700921517
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7962 SUNWOOD DR NW
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
RAMSEY
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55303-4767
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
763-323-7115
Provider Business Mailing Address Fax Number:
763-323-7117

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7962 SUNWOOD DR NW
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
RAMSEY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55303-4767
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-323-7115
Provider Business Practice Location Address Fax Number:
763-323-7117
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BINFET
Authorized Official First Name:
RODNEY
Authorized Official Middle Name:
ALBERT
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
763-323-7115

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  2768 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 152W00000X , with the licence number: 2917 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: B1163 . This is a "PREFERRED ONE CLINIC #" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 119560 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 21-00737 . This is a "MEDICA CLINIC NUMBER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 613K8RA . This is a "BCBS CLINIC NUMBER" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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