Active NPI
RJM OD LLC
- Optometrist
- Excelsior Springs, MO
National Provider Identifier
1093330508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RJM OD LLC
- Practice address
- 1717 W Jesse James Rd
Excelsior Springs, MO 64024-1801 - Phone
- (816) 630-1905
- Fax
- (816) 637-2034
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Remi J Miljavac, OD
- Title
- Dr of Optometry/ Owner
- Phone
- (816) 262-2558
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1717 W Jesse James Rd
Excelsior Springs, MO 64024-1801
Mailing address
5609 N Flint Ridge Rd
Kansas City, MO 64151-2974
Phone (816) 262-2558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1717 W Jesse James Rd
Excelsior Springs, MO 64024
Phone (816) 262-2558
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Kansas City, MO
- NPI 1164700506
-
- Optometrist
- Lees Summit, MO
- NPI 1750378998
-
- Optometrist
- Excelsior Springs, MO
- NPI 1841891140
-
- Optometrist
- Lees Summit, MO
- NPI 1588659106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1093330508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5609 N FLINT RIDGE RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512974",
"telephone_number": "816-262-2558",
"fax_number": "816-637-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W JESSE JAMES RD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241801",
"telephone_number": "816-630-1905",
"fax_number": "816-637-2034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RJM OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "MILJAVAC",
"authorized_official_first_name": "REMI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DR OF OPTOMETRY/ OWNER",
"authorized_official_telephone_number": "816-262-2558",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Excelsior Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.