Redovan Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

002512 Issued in PA

Legal business name

REDOVAN OPTICAL

Doing business as

Plaza optical

Practice address

708 N Jefferson St
New Castle, PA 16101-2178

Phone

(724) 658-7463

Fax

(724) 654-4499

NPI assigned

Oct 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward G Redovan, MD

Title

Owner

Phone

(724) 658-7463

Specialties & licenses 1

Addresses

Other names 1

• Plaza optical Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306929310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N JEFFERSON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012178",
            "telephone_number": "724-658-7463",
            "fax_number": "724-654-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N JEFFERSON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012178",
            "telephone_number": "724-658-7463",
            "fax_number": "724-654-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDOVAN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDOVAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-658-7463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "002512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyne Ranko, OTR L
• Valerie A Ranone, PA-C
• Marc S. Rashid, D.M.D.
• Rebound Physical Therapy &Wellness
• Kelli Redfoot
• Edward G Redovan, M.D.
• Regional Anesthesia Assoc
• Antonio Frank Reino, CRNP
• Salvatore Reino, DC
• Reliant Silver Oaks Holdings, LLC (Silver Oaks Health and Rehabilitation Center)

• Durable Medical Equipment & Medical Supplies in New Castle, PA
• Providers in New Castle, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.