Omni Vision III

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OMNI VISION III

Practice address

120 Empresario Drive
Ste 111
San Antonio, TX 78253

Phone

(210) 257-0940

Fax

(210) 855-7240

NPI assigned

Sep 14, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thanh Quoc Tran, OD

Title

Owner

Phone

(832) 331-9831

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Omni Vision Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1003399098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EMPRESARIO DRIVE",
            "address_2": "STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-257-0940",
            "fax_number": "210-855-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EMPRESARIO DRIVE",
            "address_2": "STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-257-0940",
            "fax_number": "210-855-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI VISION III",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-331-9831",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323825501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omni Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.