Organization Active NPI

R & R Optical Inc

  • Durable Medical Equipment & Medical Supplies
  • State College, PA
National Provider Identifier
1407837214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000004634 Issued in PA
Legal business name
R & R OPTICAL INC
Practice address
237 Northland Ctr
State College, PA 16803-2900
Phone
(814) 231-8542
Fax
(814) 235-0838
NPI assigned
Nov 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John R Rosselli
Title
President
Phone
(814) 867-5045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000004634 PA Primary

Addresses

Primary practice location

237 Northland Ctr
State College, PA 16803-2900

Mailing address

PO Box 10077
State College, PA 16805-0077
Phone (814) 867-5045

Other identifiers 1

IdentifierTypeStateIssuer
393654OtherNVA

Other names 1

  • Wise Eyes Optical Other name

National Provider Directory

National Provider Directory

Locations

237 Northland Ctr
State College, PA 16803
Phone (814) 231-8542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407837214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10077",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168050077",
            "telephone_number": "814-867-5045",
            "fax_number": "814-867-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 NORTHLAND CTR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032900",
            "telephone_number": "814-231-8542",
            "fax_number": "814-235-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & R OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-867-5045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000004634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "393654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Eyes Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • 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.