Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK W RABY, LDO
Active Sole ProprietorMR. JACK W RABY, LDO is a Optician, Dispensing healthcare provider located in ALCOA, Tennessee. NPI 1801943733 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · ALCOA, TN
Registration Details
- NPI Number
- 1801943733
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2007 (19.566346962886 yrs)
- Last Updated
- Sep 24, 2009
- License
-
DPO 446 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
343 GILL STALCOA, TN, 377012415Browse TN providers · Browse ZIP 37701
- Phone
- 8659825317
- Fax
- 8659825935
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.