Rezin Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1542-035 Issued in WI

Legal business name

REZIN OPTICAL LLC

Practice address

728 E 2ND St
Merrill, WI 54452-2419

Phone

(715) 536-4292

Fax

(715) 536-4747

NPI assigned

Sep 20, 2006

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Craig Rezin

Title

Owner/Optician

Phone

(715) 536-4292

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1043317266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 E 2ND ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544522419",
            "telephone_number": "715-536-4292",
            "fax_number": "715-536-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E 2ND ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544522419",
            "telephone_number": "715-536-4292",
            "fax_number": "715-536-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZIN OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "REZIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "715-536-4292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1542-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38507400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Merrill SC
• Dakota Dean Ress, ATC, LAT
• Carrie Roth
• Noreen Salzman, MSW LCSW
• Paul C Samundsen, MD
• Robyn A Schertz, M.D.
• Chelsey May Schleif, R.N.

• Optometrist in Merrill, WI
• Providers in Merrill, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.