Provider Demographics
NPI:1891830311
Name:R R S INC
Entity Type:Organization
Organization Name:R R S INC
Other - Org Name:CANTON OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRES
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NEEDLE
Authorized Official - Last Name:SAIDEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:315-287-1344
Mailing Address - Street 1:18 RIVERSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617
Mailing Address - Country:US
Mailing Address - Phone:315-379-0939
Mailing Address - Fax:315-379-0813
Practice Address - Street 1:18 RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617
Practice Address - Country:US
Practice Address - Phone:315-379-0939
Practice Address - Fax:315-379-0813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT0037851152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G20499360002Medicare PIN