Organization Name: | R&G VISION, LLC |
NPI Number: | 1174751127 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GENNI A MAHONEY (OPTICIAN/CO OWNER) |
Mailing Address: | 1609 Center Ave Janesville |
State: | WI US |
Postal Code: | 535462819 |
Phone Number: | 6087583466 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2009 |
NPI Last Update Date: | 10/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |