RX Optical Laboratories, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RX OPTICAL LABORATORIES, INC.

Practice address

3445 Henry St
Norton Shores, MI 49441

Phone

(231) 220-0223

NPI assigned

Aug 30, 2017

Organization subpart

No

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

Authorized official

Name

Stephan Jepson

Title

President

Phone

(269) 342-0003

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1497273403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SOUTH PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012779",
            "telephone_number": "269-342-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HENRY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-220-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX OPTICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "JEPSON",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-342-0003"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900C976550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric C Rop, MD
• Dawn Vanessa Rozycki, LLPC
• Laura Rundell, LMT
• Alyssa L. Russell, LMSW
• Diane Russick-Keglovitz, MA LLPC
• Michael Thomas Rykse, D.C.
• Zabila Saeed, MD
• Safe Space Solutions of West Michigan
• Safeguard Pest Solutions LLC
• Chelsea Samson-Pechtel, BA

• Optometrist in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.