Organization Active NPI

R a Optical

  • Optician
  • Butler, PA
National Provider Identifier
1700977758
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6000001101 Issued in PA
Legal business name
R A OPTICAL
Practice address
330 N Main St
Butler, PA 16001-4954
Phone
(724) 282-8533
Fax
(724) 282-9735
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Ms. Jennifer J Carrabba, MANAGER
Title
Manager
Phone
(724) 282-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 6000001101 PA Primary

Addresses

Primary practice location

330 N Main St
Butler, PA 16001-4954

Mailing address

330 N Main St
Butler, PA 16001-4954
Phone (724) 282-8533

Other identifiers 4

IdentifierTypeStateIssuer
160592OtherPACOLE VISION LOCATION #
PA42663OtherPAVBA PROVIDER #
1634738OtherPAHIGHMARK PROVIDER NUMBER
105365OtherPADORAL LOCATION NUMBER

Other names 1

  • dalmo optical 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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1700977758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014954",
            "telephone_number": "724-282-8533",
            "fax_number": "724-282-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014954",
            "telephone_number": "724-282-8533",
            "fax_number": "724-282-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R A OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CARRABBA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-282-8533",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "6000001101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION LOCATION #",
            "identifier": "160592",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA PROVIDER #",
            "identifier": "PA42663",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "1634738",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL LOCATION NUMBER",
            "identifier": "105365",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dalmo optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.