1356522668 NPI number — RITTER OPTICAL, INC. DBA JONES-KAPP & JOYCE OPTICIANS

Table of content: (NPI 1356522668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356522668 NPI number — RITTER OPTICAL, INC. DBA JONES-KAPP & JOYCE OPTICIANS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RITTER OPTICAL, INC. DBA JONES-KAPP & JOYCE OPTICIANS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356522668
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2520 MOSSIDE BLVD
Provider Second Line Business Mailing Address:
SUITE 2
Provider Business Mailing Address City Name:
MONROEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15146-3539
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-372-5632
Provider Business Mailing Address Fax Number:
412-843-0016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2520 MOSSIDE BLVD
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-3539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-372-5632
Provider Business Practice Location Address Fax Number:
412-843-0016
Provider Enumeration Date:
11/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RITTER
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
412-372-5632

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 50159 . This is a "DAVIS VISION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: RI283496 . This is a "OPTICHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0072845400002 . This is a "DEPT. OF PUBLIC WELFARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 9176593 . This is a "DORAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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