Mission Vision Optometry, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MISSION VISION OPTOMETRY, PA

Practice address

3301 Henderson Dr
Jacksonville, NC 28546-5231

Phone

(910) 939-2068

Fax

(910) 939-2069

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Jillian Iris Okeefe, OD

Title

Optometrist/Owner

Phone

(910) 939-2068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1174384036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465231",
            "telephone_number": "910-939-2068",
            "fax_number": "910-939-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465231",
            "telephone_number": "910-939-2068",
            "fax_number": "910-939-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VISION OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "OKEEFE",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "910-939-2068",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Catherine Miller, PTA
• Michael C Miner, MPT
• Duy an Tran Minior, M.D.
• Carlie Minnick
• Velma A Minniefield, LCSW
• Jackalyn Lee Mitchell, RN, OGNP
• Kelly Mitchell
• Mark Anthony Mitchell, IDC
• Megan Irene Mitchell, FNP
• Whitney Carraway Mitchell, DMD

• Optometrist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.