Active NPI
Ba Vision
- Optometrist
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BA VISION
- Practice address
- 521 S Aspen Ave
Broken Arrow, OK 74012-2296 - Phone
- (918) 258-9999
- Fax
- (918) 258-2850
- NPI assigned
- Nov 10, 2008
- 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
- Stacey D Murrell, OD
- Title
- Gen PTR
- Phone
- (918) 258-9999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
521 S Aspen Ave
Broken Arrow, OK 74012-2296
Mailing address
521 S Aspen Ave
Broken Arrow, OK 74012-2296
Phone (918) 258-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Broken Arrow Vision Clinic | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
521 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 258-9999
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Broken Arrow, OK
- NPI 1619984481
-
- Optometrist
- Broken Arrow, OK
- NPI 1043227812
-
- Optometrist
- Oklahoma City, OK
- NPI 1609007053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240617600000",
"number": "1194979765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 S ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122296",
"telephone_number": "918-258-9999",
"fax_number": "918-258-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 S ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122296",
"telephone_number": "918-258-9999",
"fax_number": "918-258-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BA VISION",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2009-04-25",
"status": "A",
"authorized_official_last_name": "MURRELL",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "GEN PTR",
"authorized_official_telephone_number": "918-258-9999",
"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": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.