RGM Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2190-035 Issued in WI

Legal business name

RGM EYECARE, LLC

Practice address

4304 Taylor Ave
Racine, WI 53405-4641

Phone

(262) 404-5001

NPI assigned

Apr 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert G Mahoney, O.D.

Title

Optometrist/ Managing Member

Phone

(262) 404-5001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1497071211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054641",
            "telephone_number": "262-404-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054641",
            "telephone_number": "262-404-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGM EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST/ MANAGING MEMBER",
        "authorized_official_telephone_number": "12624045001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2190-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Medical Transport
• Crystal J Reese
• David Ramon Reesman, D.D.S.
• Emily Manago Reisman, LPN
• Ashley Megan Retter, BS SAC-IT
• Kelli Rhymer
• Julie Lynne Rice, MSCCCSLP
• Marjorie J Rich, MSSW, LCSW
• Ridgewood
• James W Rieser II, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.