Optical East Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

299 Issued in AZ

Legal business name

OPTICAL EAST INC

Practice address

4419 E Main St Ste 109
Mesa, AZ 85205-7900

Phone

(480) 830-1292

Fax

(480) 924-9042

NPI assigned

Jan 26, 2007

Last updated

Apr 14, 2008By 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

Mrs. Shirley A Rakowsky, LDO

Title

Vice President

Phone

(480) 830-1292

Specialties & licenses 1

Addresses

Locations

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.

• Jeffrey Lee Rakowsky, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1871669671
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1639225493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 E MAIN #109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-830-1292",
            "fax_number": "480-924-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 E MAIN ST STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057900",
            "telephone_number": "480-830-1292",
            "fax_number": "480-924-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "RAKOWSKY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-830-1292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.