20-20 Vision Clinic, LLP

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

20-20 VISION CLINIC, LLP

Doing business as

Eye Associates of Grapevine

Practice address

819 Ira E Woods Ave
Grapevine, TX 76051-4012

Phone

(817) 488-4893

Fax

(817) 488-5939

NPI assigned

Mar 8, 2007

Last updated

Jul 7, 2016By 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

Jerry L Latham, OD

Title

Managing Partner

Phone

(817) 488-4893

Specialties & licenses 1

Addresses

Other names 1

• Eye Associates of Grapevine Doing business as

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1104957257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514012",
            "telephone_number": "817-488-4893",
            "fax_number": "817-488-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514012",
            "telephone_number": "817-488-4893",
            "fax_number": "817-488-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 VISION CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-488-4893",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Grapevine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.