Organization Active NPI

Jonas Paul Eyewear, LLC

  • Eyewear Supplier
  • Grand Rapids, MI
National Provider Identifier
1598208936
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
H625085465706 Issued in MI
Legal business name
JONAS PAUL EYEWEAR, LLC
Practice address
38 Fulton St W Ste 210
Grand Rapids, MI 49503-2644
Phone
(616) 920-1582
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Ben Harrison
Title
Ceo
Phone
(616) 920-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X H625085465706 MI Primary

Addresses

Primary practice location

38 Fulton St W Ste 210
Grand Rapids, MI 49503-2644

Mailing address

38 Fulton St W Ste 210
Grand Rapids, MI 49503-2644

National Provider Directory

National Provider Directory

Locations

38 Fulton St W
Ste 210
Grand Rapids, MI 49503
Phone (616) 920-1582

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1598208936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 FULTON ST W STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 FULTON ST W STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032644",
            "telephone_number": "616-920-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONAS PAUL EYEWEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-920-1582"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "H625085465706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.