Organization Active NPI

Contemporary Vision Center, LLC

Doing business as Contemporary Vision Center

  • Optometrist
  • Manchester, MO
National Provider Identifier
1083918692
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006017275 Issued in MO
Legal business name
CONTEMPORARY VISION CENTER, LLC
Doing business as
Contemporary Vision Center
Practice address
971 Brittany Parkway Drive
Manchester, MO 63011
Phone
(314) 651-3883
NPI assigned
Dec 23, 2010
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Traci L Hahn, O.D.
Title
Optometrist/Owner
Phone
(314) 651-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2006017275 MO Primary

Addresses

Primary practice location

971 Brittany Parkway Drive
Manchester, MO 63011

Mailing address

971 Brittany Parkway Drive
Manchester, MO 63011

Other names 1

  • Contemporary Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

971 Brittany Pkwy
Manchester, MO 63011
Phone (636) 527-3937

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1083918692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 BRITTANY PARKWAY DRIVE",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "63011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 BRITTANY PARKWAY DRIVE",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "314-651-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "314-651-3883",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006017275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contemporary Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.