SG Vision

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SG VISION

Practice address

4808 Black CT
Colleyville, TX 76034-1100

Phone

(817) 685-7200

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 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

Svetlana Ronin

Title

Manager

Phone

(817) 685-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1134583321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S COOPER ST STE 737",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 BLACK CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341100",
            "telephone_number": "817-685-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "RONIN",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-685-7200"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.