Organization Active NPI

Total Vision, Inc.

  • Optician
  • La Pine, OR
National Provider Identifier
1104943521
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
TOTAL VISION, INC.
Practice address
16487 Bluewood Place
Suite 2
La Pine, OR 97739
Phone
(541) 536-7584
Fax
(541) 536-8579
NPI assigned
Mar 22, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Mrs. Shannon Lee Jackman
Title
Billing Coordinator
Phone
(541) 536-7584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

16487 Bluewood Place
Suite 2
La Pine, OR 97739

Mailing address

PO Box 2757
La Pine, OR 97739-2757
Phone (541) 536-7584

National Provider Directory

National Provider Directory

Locations

16487 Bluewood Pl
Ste 2
La Pine, OR 97739
Phone (541) 536-7584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1104943521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977392757",
            "telephone_number": "541-536-7584",
            "fax_number": "541-536-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16487 BLUEWOOD PLACE",
            "address_2": "SUITE 2",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-7584",
            "fax_number": "541-536-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "541-536-7584",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Pine, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.