Robert Rendell Vincent, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1022 Issued in OK

Practice address

12406 E 86TH St N
Owasso, OK 74055-2500

Phone

(918) 376-2700

Fax

(918) 376-2722

NPI assigned

Sep 11, 2006

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1528019114
  NPD (past)
• Thomas Eye Care PC

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  • NPI 1861443772
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1205930328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552500",
            "telephone_number": "918-376-2700",
            "fax_number": "918-376-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552500",
            "telephone_number": "918-376-2700",
            "fax_number": "918-376-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ROBERT",
        "middle_name": "RENDELL",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Phoua Vang-Cheng, DO
• John Vang
• Arielle A Vann
• Darren Lawrence Vargas, D.O
• Ronni Sue Varney
• Kyle Volz, PHARMACIST
• Donald Von Borstel, D.O.
• Jayson Dean Voto, D.D.S.
• Amanda Wagnon
• Wal-Mart Stores East , LP (Walmart Pharmacy 10-4585)

• Optometrist in Owasso, OK
• Providers in Owasso, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.