Active NPI
Rick Rakotz, OPTICIAN
- Optician
- Winslow, AR
National Provider Identifier
1063837847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- L-030453
- Practice address
- 1400 N Devils Den Rd
Winslow, AR 72959-2605 - Phone
- (479) 530-3825
- NPI assigned
- Mar 3, 2014
- Last updated
- Mar 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | L-030453 | AR | Primary |
Addresses
Primary practice location
1400 N Devils Den Rd
Winslow, AR 72959-2605
Mailing address
1400 N Devils Den Rd
Winslow, AR 72959-2605
Phone (479) 530-3825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-030453 | AR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1063837847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N DEVILS DEN RD",
"city": "WINSLOW",
"state": "AR",
"postal_code": "729592605",
"telephone_number": "479-530-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N DEVILS DEN RD",
"city": "WINSLOW",
"state": "AR",
"postal_code": "729592605",
"telephone_number": "479-530-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKOTZ",
"first_name": "RICK",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-03",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AR",
"license": "L-030453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winslow, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.