Organization Active NPI

Rex Johnson

  • Eyewear Supplier
  • Ontario, OR
National Provider Identifier
1508035767
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
REX JOHNSON
Practice address
269 SW 19TH St
Ontario, OR 97914-1972
Phone
(541) 889-5511
Fax
(541) 889-9911
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mr. Rex Joseph Johnson
Title
Owner/Optican
Phone
(541) 889-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

269 SW 19TH St
Ontario, OR 97914-1972

Mailing address

269 SW 19TH St
Ontario, OR 97914-1972
Phone (541) 889-5511

Other names 1

  • Eagle Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1508035767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SW 19TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141972",
            "telephone_number": "541-889-5511",
            "fax_number": "541-889-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SW 19TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141972",
            "telephone_number": "541-889-5511",
            "fax_number": "541-889-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/OPTICAN",
        "authorized_official_telephone_number": "541-889-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.