JACK RABY OPTICAL NPI 1760652291

NPI Information

NPI: 1760652291
Provider Name: JACK RABY OPTICAL
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
343 GILL ST
ALCOA, TN
ZIP 37701
Phone: (865) 982-5317
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JACK RABY OPTICAL is a durable medical equipment medical supplies in Alcoa, TN. The provider is 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. JACK RABY OPTICAL NPI is 1760652291. The provider is registered as an organization entity type.

The provider's business location address is:

343 GILL ST
ALCOA, TN
ZIP 37701-415
Phone: (865) 982-5317
Fax: (865) 982-5935

The provider's authorized official is Jack W Raby .
The authorized official title is Owner and has the following contact phone number (865) 982-5317.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 3/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		DPO 446	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1295490001	MEDICARE NSC	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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