RX OPTICAL LABORATORIES, INC. (NPI# 1790106136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790106136 |
| Entity Type | Organization |
| Organization Name | RX OPTICAL LABORATORIES, INC. |
| Practice Address |
1844 Breton Rd Se Grand Rapids MI 49506-4869 |
| Mailing Address |
1700 S Park St Kalamazoo MI 49001-2779 |
| Practice Telephone | 6169572993 |
| Practice Fax Number | 6169579253 |
| Mailing Telephone | 2693420003 |
| Mailing Fax Number | 2693424284 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | STEVEN W YONKE (CFO) |
| Authorized Official Telephone | 2693420003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003762 | MI | 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 |
| 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 |
| 1871816199 | Rx Optical Laboratories, Inc. | Optometrist | 3013 Oakland Dr, Kalamazoo, MI 49008-5901 | 2010-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | RX OPTICAL LABORATORIES, INC. | 1700 South Park Street, Kalamazoo, MI 49001 |
| Street Address |
1844 BRETON RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
|---|---|---|---|---|
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1659997252 | Peter Silman | Optometrist | 3152 Peregrine Dr Ne # C205, Grand Rapids, MI 49525-9723 | 2020-06-19 |
| 1821613225 | Adam Hoffhines | Optometrist | 3159 28th St Se, Grand Rapids, MI 49512-7810 | 2020-06-11 |
| 1184283285 | Carrie Mitera | Optometrist | 1712 Timberlane Ln Ne, Grand Rapids, MI 49505-4442 | 2019-06-12 |
| 1366934879 | Maxwell Edward Rennaker | Optometrist | 2700 5 Mile Rd Ne Ste 102, Grand Rapids, MI 49525-6516 | 2018-05-31 |
| 1750830261 | Rx Optical Laboratories, Inc | Optometrist | 2000 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2016-09-26 |
| 1851759716 | Premier Family Eye Care PC. | Optometrist | 6748 Kalamzoo Ave S.e, Grand Rapids, MI 49508-7032 | 2016-02-08 |
| 1093198483 | I Care Optics LLC | Optometrist | 2425 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4652 | 2015-07-02 |
| 1891103818 | Adeline Bauer | Optometrist | 1000 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3680 | 2014-07-23 |
| 1922344894 | Rx Optical Laboratories, Inc. | Optometrist | 1858 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2012-12-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.