RX OPTICAL LABORATORIES, INC. (NPI# 1891285623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891285623 |
| Entity Type | Organization |
| Organization Name | RX OPTICAL LABORATORIES, INC. |
| Practice Address |
590 E 16th St Ste 20 Holland MI 49423-3702 |
| Mailing Address |
1825 S Park St Kalamazoo MI 49001-2762 |
| Practice Telephone | 2693420003 |
| Mailing Telephone | 2693420003 |
| Mailing Fax Number | 2693424284 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | STEPHAN J 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 900C976550 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326602392 | Rx Optical Laboratories, Inc. | Optometrist | 930 E Michigan Ave, Saline, MI 48176-1586 | 2019-04-25 |
| 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 |
| 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 |
590 E 16TH ST STE 20 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| 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 |
|---|---|---|---|---|
| 1184232381 | Afra Hussain | Optometrist | 1460 Spring Meadows Dr Unit E100, Holland, OH 43528-9478 | 2020-07-14 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1437696242 | Daniel & Max, LLC | Optometrist | 6515 Airport Hwy Ste B, Holland, OH 43528-9394 | 2017-01-31 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1710128111 | West Coast Eyecare Pllc | Optometrist | 456 E 16th St Ste 1, Holland, MI 49423-3788 | 2009-03-13 |
| 1821147646 | Kathryn Mulder Dejonge | Optometrist | 855 Washington Ave, Holland, MI 49423-7134 | 2007-01-10 |
| 1811054794 | Rx Optical Laboratories, Inc. | Optometrist | 12659 Riley St, Holland, MI 49424-9215 | 2007-01-02 |
| 1427114594 | Rx Optical Laboratories, Inc. | Optometrist | 1148 Washington Ave, Holland, MI 49423-7728 | 2006-12-31 |
| 1720163199 | Goodwill Optical Inc | Optometrist | 393 E Lakewood Blvd, Holland, MI 49424-2002 | 2006-10-26 |
| 1083727804 | Daniel Patrick Dunn | Optometrist | 2942 Pine Edge Ct, Holland, MI 49424-1676 | 2006-08-16 |
| Find all providers in HOLLAND | ||||
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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.