RX Optical Laboratories, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003762 Issued in MI

Legal business name

RX OPTICAL LABORATORIES, INC.

Practice address

1700 S Park St
Kalamazoo, MI 49001-2759

Phone

(269) 342-0003

Fax

(269) 342-4284

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephan J Jepson

Title

President

Phone

(269) 342-0003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherah Janette Eavey, OD

  • Optometrist
  • Grandville, MI
  • NPI 1699938522
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1497781868",
    "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": "490012759",
            "telephone_number": "269-342-0003",
            "fax_number": "269-342-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012759",
            "telephone_number": "269-342-0003",
            "fax_number": "269-342-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX OPTICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-12-08",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900C976550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romolo Harris Russo, M.D.
• Rebecca Rustenholtz, LLPC, LLMFT
• Jill B Ruterbusch, PT
• RX Optical Laboratories, Inc
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.