Success Vision Express of Cape, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUCCESS VISION EXPRESS OF CAPE, LLC

Practice address

3019 William St Ste 103
Cape Girardeau, MO 63703-6385

Phone

(918) 895-1700

NPI assigned

Oct 11, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cameron Pickens

Title

Credentialing Specialist

Phone

(918) 895-1700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1083189468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 W 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741076110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 WILLIAM ST STE 103",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036385",
            "telephone_number": "918-895-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS VISION EXPRESS OF CAPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "918-895-1700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Allyce Strand, OD.
• Cedric Carl Warren Strange, MD
• Ellie Stroder, PLPC
• Laura Lynn Stroud, BCBA, LBA
• Carrie Ann Stroup, M.A. CCC-SLP
• Success Vision Eyecare of Cape, LLC (Success Vision Eyecare of Cape)
• Ashley Sullivan, LMT MMP
• Elizabeth Marie Sullivan, LPC
• Michael Sullivan
• Susan G Sulser, APRN,MSN,BC,FNP

• Optometrist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.