Provider Demographics
NPI:1427187970
Name:R&S PRODUCTION & GLASSES FOR LESS
Entity Type:Organization
Organization Name:R&S PRODUCTION & GLASSES FOR LESS
Other - Org Name:ROBERT L. BALLEW III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOUNDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-931-4994
Mailing Address - Street 1:1407 MEMORIAL PKWY NW STE 11
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5935
Mailing Address - Country:US
Mailing Address - Phone:256-533-4994
Mailing Address - Fax:256-519-3646
Practice Address - Street 1:1407 MEMORIAL PKWY NW STE 11
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5935
Practice Address - Country:US
Practice Address - Phone:256-533-4994
Practice Address - Fax:256-519-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009975730Medicaid
AL51532780OtherBCBS