Organization
RX OPTICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN JEPSON (PRESIDENT)
(269) 342-0003
Entity
Organization
Contact information
Practice address
1717 28TH ST SW, WYOMING, MI 49519-2591
(616) 531-4370
Mailing address
1825 S PARK ST, KALAMAZOO, MI 49001-2759
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
12/11/2017
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