Organization Active NPI

Success Vision Express of Conway

  • Eyewear Supplier
  • Conway, AR
National Provider Identifier
1093225633
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SUCCESS VISION EXPRESS OF CONWAY
Practice address
1100 S Amity Rd Ste B
Conway, AR 72032-8106
Phone
(918) 895-1700
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Veronica Dansby
Title
Insurance Specialist
Phone
(918) 895-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1100 S Amity Rd Ste B
Conway, AR 72032-8106

Mailing address

5312 W 41St St
Tulsa, OK 74107-6110
Phone (918) 895-1700

National Provider Directory

National Provider Directory

Locations

1100 S Amity Rd
Ste B
Conway, AR 72032
Phone (918) 895-1700

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1093225633",
    "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",
            "telephone_number": "918-895-1700",
            "fax_number": "877-464-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S AMITY RD STE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328106",
            "telephone_number": "918-895-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS VISION EXPRESS OF CONWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "DANSBY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "918-895-1700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.