RX Optical Laboratories, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RX OPTICAL LABORATORIES, INC.

Practice address

930 E Michigan Ave
Saline, MI 48176-1586

Phone

(269) 342-0003

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By 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

Stephan J Jepson

Title

President

Phone

(269) 342-0003

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

RX Optical Laboratories Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• RX Optical Laboratories, Inc.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1790106136
  NPD tax ID
• RX Optical Laboratories, Inc.

  • Optometrist
  • Holland, MI
  • NPI 1891285623
  NPD tax ID

Locations

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1326602392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012762",
            "telephone_number": "269-342-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761586",
            "telephone_number": "269-342-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX OPTICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "JEPSON",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-342-0003"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C976550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Roughton, MSACN, CN CANIDATE
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• Shannon K Roznay, DC
• Emily Rusnak, PH.D., CCC-SLP
• Jose Benjamin F Rustia
• Anastasia Ryan, MA, CCC-SLP
• Margaret Ryder, MSW
• Ayan Said
• Saint Joseph Mercy Saline Hospital
• Saint Joseph Mercy Saline Hospital

• Optometrist in Saline, MI
• Providers in Saline, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.