Organization Active NPI

Whalen Optical Labs Inc

  • Customized Equipment (DME)
  • Rockford, IL
National Provider Identifier
1275716029
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
WHALEN OPTICAL LABS INC
Practice address
5970 E State St
Rockford, IL 61108-2430
Phone
(815) 395-1820
Fax
(815) 395-9135
NPI assigned
Dec 14, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Ms. Kathleen L Reingold
Title
Claims Administrator
Phone
(815) 399-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

5970 E State St
Rockford, IL 61108-2430

Mailing address

5970 E State St
Rockford, IL 61108-2430
Phone (815) 395-1820

National Provider Directory

National Provider Directory

Locations

5970 E State St
Rockford, IL 61108
Phone (815) 395-1820

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1275716029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082430",
            "telephone_number": "815-395-1820",
            "fax_number": "815-395-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082430",
            "telephone_number": "815-395-1820",
            "fax_number": "815-395-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHALEN OPTICAL LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "REINGOLD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLAIMS ADMINISTRATOR",
        "authorized_official_telephone_number": "815-399-0599",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.