Active NPI
Family Vision Trends LLC
- Optometrist
- Norman, OK
National Provider Identifier
1013071588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2384
- Legal business name
- FAMILY VISION TRENDS LLC
- Practice address
- 1021 24TH Ave NW
Norman, OK 73069-6365 - Phone
- (405) 329-3937
- Fax
- (405) 329-3556
- NPI assigned
- Dec 20, 2006
- Last updated
- Oct 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Bagg
- Title
- Owner
- Phone
- (405) 329-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2384 | OK | Primary |
Addresses
Primary practice location
1021 24TH Ave NW
Norman, OK 73069-6365
Mailing address
1021 24TH Ave NW
Norman, OK 73069-6365
Phone (405) 329-3937
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200195950A | Medicaid | OK | |
| 241332202 | Other | PTAN GROUP | |
| 200016870A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1021 24th Ave NW
Norman, OK 73069
Phone (405) 329-3937
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Norman, OK
- NPI 1992756159
-
- Optometrist
- Norman, OK
- NPI 1073286266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383177600000",
"number": "1013071588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696365",
"telephone_number": "405-329-3937",
"fax_number": "405-329-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696365",
"telephone_number": "405-329-3937",
"fax_number": "405-329-3556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY VISION TRENDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2013-10-31",
"status": "A",
"authorized_official_last_name": "BAGG",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-329-3937",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200195950A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN GROUP",
"identifier": "241332202",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200016870A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
- Family & Children's Services Inc
- Family & Children's Services Inc
- Family Health Chiropractic, Inc. P.C.
- Family Medicine Associates of Norman
- Family Uncensored Mental Health Services LLC
- Family Wellness Center of Norman LLC
- Familyties LLC
- Ila Miranda Faneros
- Emily Lauren Fannon
- Farhan Jawed, M.D., PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.