NPIMap

Organization Active NPI

Heritage Park Eye Care Center

Doing business as Vision Source Midwest City

  • Eyewear Supplier
  • Midwest City, OK
National Provider Identifier
1033235395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2206 Issued in OK
Legal business name
HERITAGE PARK EYE CARE CENTER
Doing business as
Vision Source Midwest City
Practice address
6912 E Reno Ave
Suite 101
Midwest City, OK 73110-2162
Phone
(405) 732-2277
Fax
(405) 737-4776
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Smay, O.D.NPI 1831253475
Title
Optometrist
Phone
(405) 732-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2206 OK Primary

Addresses

Primary practice location

6912 E Reno Ave
Suite 101
Midwest City, OK 73110-2162

Mailing address

6912 E Reno Ave
Suite 101
Midwest City, OK 73110-2162
Phone (405) 732-2277

Other identifiers 1

IdentifierTypeStateIssuer
CS4518OtherOKPALMETTO GROUP NUMBER

Other names 1

  • Vision Source Midwest City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Park Eye Care Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6912 E Reno Ave
Ste 101
Midwest City, OK 73110
Phone (405) 732-2277

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033235395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 E RENO AVE",
            "address_2": "SUITE 101",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102162",
            "telephone_number": "405-732-2277",
            "fax_number": "405-737-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 E RENO AVE",
            "address_2": "SUITE 101",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102162",
            "telephone_number": "405-732-2277",
            "fax_number": "405-737-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PARK EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-732-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "2206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GROUP NUMBER",
            "identifier": "CS4518",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source Midwest City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.