Active NPI
Vinson E Nance, O.D
- Vision Therapy Optometrist
- El Paso, TX
National Provider Identifier
1043228380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 02742TG
- Practice address
- 11365 Montwood Dr
Suite D
El Paso, TX 79936-3854 - Phone
- (915) 857-3997
- Fax
- (915) 857-1203
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2742TG | TX | |
| Vision Therapy Optometrist | 152WV0400X | 02742TG | TX | Primary |
Addresses
Primary practice location
11365 Montwood Dr
Suite D
El Paso, TX 79936-3854
Mailing address
11365 Montwood Dr
Suite D
El Paso, TX 79936-3854
Phone (915) 857-3997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2742TG | TX | MD | Optometrist |
| 02742TG | TX | MD | Vision Therapy Optometrist |
| 2742 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1043228380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11365 MONTWOOD DR",
"address_2": "SUITE D",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363854",
"telephone_number": "915-857-3997",
"fax_number": "915-857-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11365 MONTWOOD DR",
"address_2": "SUITE D",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363854",
"telephone_number": "915-857-3997",
"fax_number": "915-857-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "VINSON",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2742TG",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "TX",
"license": "02742TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.