RX Optical Laboratories, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RX OPTICAL LABORATORIES, INC.

Practice address

4191 Plainfield Ave NE
Grand Rapids, MI 49525-1604

Phone

(616) 364-8144

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Steven W Yonke

Title

Cfo

Phone

(269) 342-0003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1801953773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251604",
            "telephone_number": "616-364-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX OPTICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "YONKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "269-342-0003"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• Jacob Ryall, MD
• Ryan C. Van Haren, DDS PLLC
• Jeffrey David Ryan-Stout, PA-C
• Adam Ryan

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.