1003974122 NPI number — RESEARCH OPTICAL SERVICE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003974122 NPI number — RESEARCH OPTICAL SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESEARCH OPTICAL SERVICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003974122
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6400 PROSPECT AVE
Provider Second Line Business Mailing Address:
RESEARCH MEDICAL BLDG. SUITE 398
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64132-1100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-444-9646
Provider Business Mailing Address Fax Number:
816-444-9892

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6400 PROSPECT AVE
Provider Second Line Business Practice Location Address:
RESEARCH MEDICAL BLDG. SUITE 398
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64132-1100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-444-9646
Provider Business Practice Location Address Fax Number:
816-444-9892
Provider Enumeration Date:
12/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BILLINGSLEY
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
816-444-9646

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 310084601 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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