Organization Active NPI

RGM Optical SRV Inc

  • Technician/Technologist
  • Huber Heights, OH
National Provider Identifier
1609914829
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
S5371 Issued in OH
Legal business name
RGM OPTICAL SRV INC
Practice address
6079 Brandt Pike
Huber Heights, OH 45424
Phone
(937) 237-8669
Fax
(937) 237-9019
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Rey G Malonjao, LICENSING DISPENSING
Title
President Ldo
Phone
(937) 237-8669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4554 OH
Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156F00000X S5371 OH Primary

Addresses

Primary practice location

6079 Brandt Pike
Huber Heights, OH 45424

Mailing address

6079 Brandt Pike
Huber Heights, OH 45424
Phone (937) 237-8669

Other identifiers 1

IdentifierTypeStateIssuer
2480668MedicaidOH

Other names 1

  • Eye X Care Opticare Doing business as

National Provider Directory

National Provider Directory

Locations

6079 Brandt Pike
Huber Heights, OH 45424
Phone (937) 237-8669

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609914829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 BRANDT PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-237-8669",
            "fax_number": "937-237-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 BRANDT PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-237-8669",
            "fax_number": "937-237-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGM OPTICAL SRV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MALONJAO",
        "authorized_official_first_name": "REY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT LDO",
        "authorized_official_telephone_number": "937-237-8669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSING DISPENSING"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4554",
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": "OH",
            "license": "S5371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye X Care Opticare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.