Organization Active NPI

McCoy Vision Center, Inc.

  • Optometrist
  • Kissimmee, FL
National Provider Identifier
1174954010
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MCCOY VISION CENTER, INC.
Practice address
1303 East Vine St
Kissimmee, FL 34744
Phone
(407) 870-2020
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. David Jon McCoy, O.D.
Title
Preident
Phone
(407) 202-8753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1303 East Vine St
Kissimmee, FL 34744

Mailing address

1303 East Vine St
Kissimmee, FL 34744
Phone (407) 870-2020

National Provider Directory

National Provider Directory

Locations

3140 Citrus Tower Blvd
Bldg 11
Clermont, FL 34711
Phone (352) 243-2121

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1174954010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 EAST VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34744",
            "telephone_number": "407-870-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 EAST VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34744",
            "telephone_number": "407-870-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOY VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PREIDENT",
        "authorized_official_telephone_number": "407-202-8753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.