RX Optical Laboratories, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RX OPTICAL LABORATORIES, INC.

Practice address

155 W Michigan Ave Ste 1C
Kalamazoo, MI 49007-3913

Phone

(269) 342-0134

Fax

(269) 342-4284

NPI assigned

Dec 22, 2006

Last updated

Nov 15, 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

Mr. Stephan Jepson

Title

President

Phone

(269) 342-0003

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krysten L Avery, O.D.

  • Optometrist
  • North New Hyde Park, NY
  • NPI 1770670697
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1568526465",
    "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": "155 W MICHIGAN AVE STE 1C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073913",
            "telephone_number": "269-342-0134",
            "fax_number": "269-342-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX OPTICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2019-11-15",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900C976550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.
• Rxruss Inc (Westside Medical Pharmacy)
• Jason Thomas Ryan, MD

• 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 Nov 15, 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.