Provider Demographics
NPI:1780720078
Name:RRS INC
Entity type:Organization
Organization Name:RRS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:GOUVERNEUR
Mailing Address - State:NY
Mailing Address - Zip Code:13642-0326
Mailing Address - Country:US
Mailing Address - Phone:315-287-1344
Mailing Address - Fax:315-287-4419
Practice Address - Street 1:181 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GOUVERNEUR
Practice Address - State:NY
Practice Address - Zip Code:13642-1552
Practice Address - Country:US
Practice Address - Phone:315-287-1344
Practice Address - Fax:315-287-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0003785332H00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00624002Medicaid
0499360001Medicare NSC
T26515Medicare UPIN
NY00624002Medicaid