REX JOHNSON (NPI# 1508035767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508035767 |
| Entity Type | Organization |
| Organization Name | REX JOHNSON |
| Other Organization Name | EAGLE OPTICAL |
| Practice Address |
269 Sw 19th St Ontario OR 97914-1972 |
| Practice Telephone | 5418895511 |
| Practice Fax Number | 5418899911 |
| Mailing Telephone | 5418895511 |
| Mailing Fax Number | 5418899911 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-11-12 |
| Authorized Official Name | MR. REX JOSEPH JOHNSON (OWNER/OPTICAN) |
| Authorized Official Telephone | 5418895511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Eagle Optical | Doing Business As Name - Organization |
| Street Address |
269 SW 19TH ST |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871663195 | Jeffrey C Pitts | Ophthalmology | 269 Sw 19th St, Ontario, OR 97914-1972 | 2006-11-08 |
| 1477621662 | Jeffrey C Pitts | Ophthalmology | 269 Sw 19th St, Ontario, OR 97914-1972 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083098594 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4200 E 4th St, Ontario, CA 91764-5250 | 2015-07-14 |
| 1356744809 | Advanced Optical Company, LLC | Eyewear Supplier (Equipment, not the service) | 1991 Park Ave W, Ontario, OH 44906-2233 | 2014-09-29 |
| 1881825800 | John S Rossi | Eyewear Supplier (Equipment, not the service) | 615 N Palm Ave, Ontario, CA 91762-3219 | 2009-08-07 |
| 1316092455 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1 Mills Cir, Ontario Mills Ste #516, Ontario, CA 91764-5207 | 2007-01-25 |
| 1801947833 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2205 Walker Lake Rd, Ontario, OH 44903-6519 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255827689 | Woodburn Eye Center, LLC | Eyewear Supplier (Equipment, not the service) | 580 Glatt Cir, Woodburn, OR 97071-7690 | 2018-07-09 |
| 1518473297 | Asterix Eyewear | Eyewear Supplier (Equipment, not the service) | 4936 Se Foster Rd, Portland, OR 97206-3037 | 2017-12-18 |
| 1831616929 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 817 Nw 23rd Ave, Portland, OR 97210-3003 | 2017-08-29 |
| 1568993988 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9300 Sw Washington Square Rd, Portland, OR 97223-4428 | 2017-03-27 |
| 1871048090 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 30020 Sw Boones Ferry Rd, Wilsonville, OR 97070-8912 | 2016-08-17 |
| 1467823518 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3148 N Highway 97, Suite B-1, Bend, OR 97703-7514 | 2015-10-15 |
| 1871962951 | Optical Shop Equipment Inc | Eyewear Supplier (Equipment, not the service) | 341 Nw Medical Loop, Suite 120, Roseburg, OR 97471-5540 | 2015-09-18 |
| 1326460221 | Mt. Hood Eye Care Corporation | Eyewear Supplier (Equipment, not the service) | 36840 Industrial Way Ste D, Sandy, OR 97055-9254 | 2014-01-11 |
| 1528301173 | Treondaus Garnett Morman | Eyewear Supplier (Equipment, not the service) | 1135 Santiam Hwy Se, Albany, OR 97321-3156 | 2013-04-02 |
| 1750611372 | Focal Point | Eyewear Supplier (Equipment, not the service) | 2002 Highway 101, North, Florence, OR 97439-0155 | 2010-01-04 |
| Find all providers with the same taxonomy | ||||
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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.