Organization Active NPI

Rrti Holding LLC

  • Optometrist
  • Starkville, MS
National Provider Identifier
1467633990
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
651 Issued in MS
Legal business name
RRTI HOLDING LLC
Doing business as
EYEDEAL OPTICAL STARKVILLE
Practice address
1085 Stark Rd Ste C
Starkville, MS 39759-3682
Phone
(662) 320-6636
Fax
(662) 320-3838
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Reagan Lee Ford II, OD
Title
Owner
Phone
(662) 332-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 651 MS Primary

Addresses

Primary practice location

1085 Stark Rd Ste C
Starkville, MS 39759-3682

Mailing address

1085 Stark Rd Ste C
Starkville, MS 39759-3682
Phone (662) 320-6636

Other names 1

  • EYEDEAL OPTICAL STARKVILLE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1467633990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 STARK RD STE C",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593682",
            "telephone_number": "662-320-6636",
            "fax_number": "662-320-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 STARK RD STE C",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593682",
            "telephone_number": "662-320-6636",
            "fax_number": "662-320-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RRTI HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-332-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEDEAL OPTICAL STARKVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.