Provider Demographics
NPI:1073174876
Name:RAR OPTOMETRY INC
Entity Type:Organization
Organization Name:RAR OPTOMETRY INC
Other - Org Name:SPRINGBORO EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FEI
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-748-3937
Mailing Address - Street 1:564 N MAIN ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-8001
Mailing Address - Country:US
Mailing Address - Phone:937-748-3937
Mailing Address - Fax:937-748-5209
Practice Address - Street 1:564 N MAIN ST UNIT A
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-8001
Practice Address - Country:US
Practice Address - Phone:937-748-3937
Practice Address - Fax:937-748-5209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty