Jack Raby Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DPO 446 Issued in TN

Legal business name

JACK RABY OPTICAL

Practice address

343 Gill St
Alcoa, TN 37701-2415

Phone

(865) 982-5317

Fax

(865) 982-5935

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jack W Raby II, LDONPI 1801943733

Title

Owner

Phone

(865) 982-5317

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack W Raby, LDO

  • Optician
  • Alcoa, TN
  • NPI 1801943733
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1760652291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 GILL ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012415",
            "telephone_number": "865-982-5317",
            "fax_number": "865-982-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 GILL ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012415",
            "telephone_number": "865-982-5317",
            "fax_number": "865-982-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK RABY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "RABY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-982-5317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "DPO 446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leanne Huffstetler, FNP
• Renee Joy Hyatt, M.D.
• John J Ingram III, MD
• Frankie Denise Irwin, LPN
• William David Ivens, M.S., ATC
• Elizabeth Jenkins
• Jayraj F Jhala, MD
• Angela Johnson
• Elizabeth J Johnson, APN
• John Paul Johnson, PA-C

• Durable Medical Equipment & Medical Supplies in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.