Provider Demographics
NPI:1003974122
Name:RESEARCH OPTICAL SERVICE, INC.
Entity Type:Organization
Organization Name:RESEARCH OPTICAL SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLINGSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-444-9646
Mailing Address - Street 1:6400 PROSPECT AVE
Mailing Address - Street 2:RESEARCH MEDICAL BLDG. SUITE 398
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1100
Mailing Address - Country:US
Mailing Address - Phone:816-444-9646
Mailing Address - Fax:816-444-9892
Practice Address - Street 1:6400 PROSPECT AVE
Practice Address - Street 2:RESEARCH MEDICAL BLDG. SUITE 398
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1100
Practice Address - Country:US
Practice Address - Phone:816-444-9646
Practice Address - Fax:816-444-9892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO310084601Medicaid
MO310084601Medicaid