Active NPI
RGM Optical SRV Inc
- Technician/Technologist
- Huber Heights, OH
National Provider Identifier
1609914829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- S5371
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4554 | OH | |
| Technician/Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2480668 | Medicaid | OH |
Other names 1
- Eye X Care Opticare
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Columbus, OH
- NPI 1467566307
-
- Technician/Technologist
- Huber Heights, OH
- NPI 1932233871
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.