RX OPTICAL LABORATORIES, INC. (NPI# 1407913288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407913288 |
| Entity Type | Organization |
| Organization Name | RX OPTICAL LABORATORIES, INC. |
| Practice Address |
1761 S M-139 Benton Harbor MI 49023-6101 |
| Mailing Address |
1825 S Park St Kalamazoo MI 49001-2759 |
| Practice Telephone | 2699340424 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | STEPHAN 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 |
1761 S M-139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49023-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326424821 | Alicia Sauers | Counselor | 1485 S. M-139, None, Benton Harbor, MI 49023 | 2015-08-06 |
| 1821429390 | Mariesa Tinkham | Social Worker | 1485 S M-139, Benton Harbor, MI 49023 | 2013-12-09 |
| 1497893267 | Steven Edward Wolter | Pharmacist | 1485 South M-139, Benton Harbor, MI 49023-0547 | 2007-02-02 |
| 1447402631 | Lisa R Cole | Social Worker | 960 Agard Ave, Benton Harbor, MI 49023-0751 | 2008-10-21 |
| 1013090679 | Deanna Renae Ellis-chopin | Psychologist | 777 East Napier Avenue, Pob 8776, Benton Harbor, MI 49023-8776 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922616317 | Paula M Hazzard-reed | Social Worker | 196 Lormar Ave, Benton Harbor, MI 49022-6754 | 2020-07-21 |
| 1982221149 | Karl Cornelious Cotton | Home Health Aide | 946 Monroe St, Benton Harbor, MI 49022-4832 | 2020-07-02 |
| 1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
| 1326675950 | Timothy Alan Rantz | Custodial Care Facility | 1564 N M 63, Benton Harbor, MI 49022-2759 | 2020-03-24 |
| 1952968109 | Zelda Felix-mottley | Nutritionist | 1737 Hillandale Rd, Benton Harbor, MI 49022-9630 | 2019-05-23 |
| 1407310188 | Mistel De Varona | Lactation Consultant, Non-RN | 2149 E Napier Ave, Benton Harbor, MI 49022-1846 | 2019-01-26 |
| 1760955736 | Geriatric Connections LLC | Social Worker | 7085 Territorial Rd, Benton Harbor, MI 49022-9458 | 2019-01-02 |
| 1831675529 | John W Wells | Psychologist | 777 Riverview Dr Ste 102, Benton Harbor, MI 49022-5065 | 2018-07-16 |
| 1104317072 | Lashonda Janea Johnson | Home Health Aide | 167 Chestnut St, Benton Harbor, MI 49022-3019 | 2018-05-25 |
| 1215430335 | Theresa A Anzures | Physical Therapist | 2250 Meadowbrook Rd, Benton Harbor, MI 49022-9605 | 2018-03-15 |
| Find all providers in BENTON HARBOR | ||||
| 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 |
|---|---|---|---|---|
| 1952468720 | Jaimie Lynn Church | Optometrist | 1860 Pipestone Rd, Benton Harbor, MI 49022-2304 | 2007-01-02 |
| 1780744953 | Melanie Jankowski Jones | Optometrist | 1800 Pipestone Rd, Orchards Mall, Benton Harbor, MI 49022-2311 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
| City | BENTON HARBOR |
| Zip Code | 49023 |
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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.