Rrti 2 LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

775 Issued in MS

Legal business name

RRTI 2 LLC

Doing business as

Eyedeal Optical Tupelo

Practice address

1140 W Main St
Tupelo, MS 38801-3445

Phone

(662) 842-3328

Fax

(662) 842-3308

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Addresses

Other names 1

• Eyedeal Optical Tupelo Doing business as

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1518151059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HIGHWAY 82 E",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387036010",
            "telephone_number": "662-332-3325",
            "fax_number": "662-378-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013445",
            "telephone_number": "662-842-3328",
            "fax_number": "662-842-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RRTI 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-12-17",
        "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": "775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedeal Optical Tupelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis L. Rowland, N.P.
• Jacob Rowland, PA-C
• Tammy R Rowland
• Callan Hotchkiss Rowley, PA
• RPG Medical of North Mississippi LLC
• Balfour William Ruff III, M.ED.
• Gabriel Job Rulewicz, MD
• Brady Russell
• Emilie Caron Russell, DMD
• Noah Russell, DO

• Optometrist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.