Active NPI
McCoy Vision Center, Inc.
- Optometrist
- Kissimmee, FL
National Provider Identifier
1174954010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.