Rx Optical Laboratories, Inc.

NPI #1164588232 in Portage, Michigan

Provider Information

NPI Number: 1164588232
Entity Type: Organization
Organization Name: Rx Optical Laboratories, Inc.
Primary Specialty: Optometrist
Enumeration Date: Dec 31, 2006
Last Updated: Dec 11, 2017

Practice Location

Address: 6123 S WESTNEDGE AVE
City: Portage
State: Michigan
ZIP Code: 49002-2811
Phone: (269) 327-7079

Authorized Official

Name: STEPHAN JEPSON
Title: PRESIDENT
Phone: (269) 342-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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