RX OPTICAL LABORATORIES, INC. (NPI# 1407913213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407913213 |
| Entity Type | Organization |
| Organization Name | RX OPTICAL LABORATORIES, INC. |
| Practice Address |
2350 44th St Se Kentwood MI 49508-5016 |
| Mailing Address |
1825 S Park St Kalamazoo MI 49001-2759 |
| Practice Telephone | 6162811011 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | STEPHEN JEPSON (PRESIDENT) |
| Authorized Official Telephone | 2693420003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326602392 | Rx Optical Laboratories, Inc. | Optometrist | 930 E Michigan Ave, Saline, MI 48176-1586 | 2019-04-25 |
| 1891285623 | Rx Optical Laboratories, Inc. | Optometrist | 590 E 16th St Ste 20, Holland, MI 49423-3702 | 2018-05-17 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1306235262 | Rx Optical Laboratories, Inc. | Optometrist | 867 W Eisenhower Pkwy, Ann Arbor, MI 48103-6641 | 2015-01-15 |
| 1790106136 | Rx Optical Laboratories, Inc. | Optometrist | 1844 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2014-01-03 |
| 1922344894 | Rx Optical Laboratories, Inc. | Optometrist | 1858 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2012-12-21 |
| 1821334707 | Rx Optical Laboratories, Inc. | Optometrist | 44429 Ann Arbor Road, Plymouth Township, MI 48170 | 2012-12-20 |
| 1518203421 | Rx Optical Laboratories, Inc. | Optometrist | 6143 Kalamazoo Ave Se, Grand Rapids, MI 49508-7019 | 2012-12-20 |
| 1821371584 | Rx Optical Laboratories, Inc. | Optometrist | 27604 Middlebelt Rd, Farmington Hills, MI 48334-5001 | 2011-09-20 |
| 1396038527 | Rx Optical Laboratories, Inc. | Optometrist | 29474 West Seven Mile Rd, Livonia, MI 48152 | 2011-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | RX OPTICAL LABORATORIES, INC. | 1700 South Park Street, Kalamazoo, MI 49001 |
| Street Address |
2350 44TH ST SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619993755 | Ronald T Mcclatchey | Optometrist | 2350 44th St Se, Kentwood, MI 49508-5016 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194297747 | James Coon | Optometrist | 2974 28th St Se Ste A, Kentwood, MI 49512-1664 | 2018-12-20 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1568520716 | Joel E Ensminger | Optometrist | 2974 28th St Se, Ste A, Kentwood, MI 49512-1664 | 2006-12-04 |
| 1619993755 | Ronald T Mcclatchey | Optometrist | 2350 44th St Se, Kentwood, MI 49508-5016 | 2006-07-14 |
| 1144246356 | Douglas Arthur Coon | Optometrist | 3375 Breton Valley Dr Se, Kentwood, MI 49512-9064 | 2006-07-14 |
| 1780054304 | West Point Optical Group | Optometrist | 2974 28th St Se, Suite A, Kentwood, MI 49512-1664 | 2015-09-25 |
| 1457521692 | David J. Scholten, Od, PC | Optometrist | 2350 32nd St Se, Kentwood, MI 49508-7901 | 2008-03-04 |
| 1558404152 | Jason Vanderploeg | Optometrist | 3205 28th St Se, Ste 1, Kentwood, MI 49512-1695 | 2007-02-14 |
| 1154489391 | Kelly Ehle | Optometrist | 2974 28th St Se, Ste A, Kentwood, MI 49512-1664 | 2006-12-04 |
| 1164484705 | Leon James Bangma | Optometrist | 2897 Radcliff Ave Se, Kentwood, MI 49512-1793 | 2006-04-06 |
| Find all providers in KENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.