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RICK RAKOTZ OPTICIAN

Optician >> Technician/Technologist >> Eye and Vision Services Providers

Registrant NPI Number: 1063837847

Individual Registrant:
 RICK  RAKOTZ OPTICIAN
Gender: M
Sole Proprietor

Location and contact information for practice:
1400 N DEVILS DEN RD  WINSLOW, AR 72959-2605 US
Tel: 479-530-3825  Fax: --

Contact information for business:
1400 N DEVILS DEN RD  WINSLOW, AR 72959-2605 US
Tel: 479-530-3825  Fax: --

Registration Information:
NPI: 1063837847
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician
ARL-030453

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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