Provider Demographics
NPI:1093849960
Name:R P K UNLIMITED INC
Entity Type:Organization
Organization Name:R P K UNLIMITED INC
Other - Org Name:KAISER EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPEUTIC OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:P
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:830-775-6567
Mailing Address - Street 1:106 MIERS ST STE A
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-3082
Mailing Address - Country:US
Mailing Address - Phone:830-775-6567
Mailing Address - Fax:830-768-3503
Practice Address - Street 1:106 MIERS ST STE A
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3082
Practice Address - Country:US
Practice Address - Phone:830-775-6567
Practice Address - Fax:830-768-3503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06160TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80763QOtherBCBS
TX00614UOtherU87685
TX00614UOtherGROUP
TX147654102Medicaid
TX80763QOtherBCBS
TX8A2783Medicare PIN