Active NPI
Jonas Paul Eyewear, LLC
- Eyewear Supplier
- Grand Rapids, MI
National Provider Identifier
1598208936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- H625085465706
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.