Organization Active NPI

R&G Vision, LLC

Doing business as Serenity Vision

  • Eyewear Supplier
  • Janesville, WI
National Provider Identifier
1174751127
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
R&G VISION, LLC
Doing business as
Serenity Vision
Practice address
1609 Center Ave
Janesville, WI 53546-2819
Phone
(608) 758-3466
NPI assigned
Jun 29, 2009
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Genni A Mahoney
Title
Optician/Co Owner
Phone
(608) 758-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1609 Center Ave
Janesville, WI 53546-2819

Mailing address

1609 Center Ave
Janesville, WI 53546-2819
Phone (608) 758-3466

Other names 1

  • SERENITY VISION Doing business as

National Provider Directory

National Provider Directory

Locations

1609 Center Ave
Janesville, WI 53546
Phone (608) 758-3466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1174751127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 CENTER AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462819",
            "telephone_number": "608-758-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 CENTER AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462819",
            "telephone_number": "608-758-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&G VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "GENNI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTICIAN/CO OWNER",
        "authorized_official_telephone_number": "608-758-3466"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENITY VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.