Organization Active NPI

Vantage Vision Care PC

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1215466123
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VANTAGE VISION CARE PC
Practice address
1901 NW Expressway Ste 2058
Oklahoma City, OK 73118-9229
Phone
(405) 921-6758
NPI assigned
Jun 6, 2017
Last updated
Aug 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Amy Selix
Title
Office Manager
Phone
(405) 848-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OK Primary

Addresses

Primary practice location

1901 NW Expressway Ste 2058
Oklahoma City, OK 73118-9229

Mailing address

804 N Stout Cir
Moore, OK 73170-1118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1215466123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N STOUT CIR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731701118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NW EXPRESSWAY STE 2058",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731189229",
            "telephone_number": "405-921-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE VISION CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "SELIX",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-848-3461"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.