Organization Active NPI

Franklin Vision Group

  • Optometrist
  • Poplar Bluff, MO
National Provider Identifier
1033417225
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2010028684 Issued in MO
Legal business name
FRANKLIN VISION GROUP
Practice address
333 S Westwood Blvd
Vision Center
Poplar Bluff, MO 63901-5519
Phone
(409) 617-9774
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Willis N Franklin, O.D.
Title
President
Phone
(409) 617-9774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2010028684 MO Primary

Addresses

Primary practice location

333 S Westwood Blvd
Vision Center
Poplar Bluff, MO 63901-5519

Mailing address

333 S Westwood Blvd
Vision Center
Poplar Bluff, MO 63901-5519
Phone (409) 617-9774

National Provider Directory

National Provider Directory
Tax ID family
Franklin Vision Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1033417225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S WESTWOOD BLVD",
            "address_2": "VISION CENTER",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015519",
            "telephone_number": "409-617-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S WESTWOOD BLVD",
            "address_2": "VISION CENTER",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015519",
            "telephone_number": "409-617-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN VISION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-617-9774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2010028684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.