Organization
RA OPTICAL
Active
Other names
RA Optical/Dalmo
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MORRIS GROSSMAN (PRESIDENT)
(412) 521-2100
Entity
Organization
Contact information
Practice address
214 CORBET ST, TARENTUM, PA 15084-1815
(724) 224-8806
Mailing address
214 CORBET ST, TARENTUM, PA 15084-1815
(724) 224-8806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000797
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0775387
—
PA
01
—
104915
DORAL
PA
01
—
14658
SPECTERA
PA
01
—
160594
COLE MANAGE VISION
PA
01
—
1646988
BLUE SHIELD
PA
01
—
259931
HEALTH AMERICA
PA
01
—
308997
UPMC
PA
01
—
32663
VISION BENEFITS OF AMER.
PA
01
—
396097
NATIONAL VISION ADMIN.
PA
01
—
44787
DAVIS VISION
PA
Enumeration date
03/16/2006
Last updated
05/23/2012
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