MEDICARE: R AND N VISION LLC DBA OPTICAL DESIGN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1255293932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R AND N VISION LLC DBA OPTICAL DESIGN

Provider Business Mailing Address
First Line	:	601B MALLARD LN
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-1214
Country	:	US
Telephone Number	:	512-352-3016
Fax Number	:	512-365-3027

Provider Business Practice Location Address
First Line	:	601B MALLARD LN
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-1214
Country	:	US
Telephone Number	:	512-352-3016
Fax Number	:	512-365-3027

Authorized Official
Title or Position	:	PRESIDENT
Name	:	REGINA JONES
Credential	:	ABOC
Telephone Number	:	512-352-3016

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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