Vian Eye Clinic PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VIAN EYE CLINIC PLLC

Practice address

117 S Blackstone
Vian, OK 74962-1437

Phone

(918) 773-5045

Fax

(918) 773-5041

NPI assigned

Jul 29, 2025

Last updated

Jul 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Don Simon, ODNPI 1114663085

Title

Owner

Phone

(918) 773-5045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Simon

  • Optometrist
  • Stilwell, OK
  • NPI 1114663085
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1265315147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749620849",
            "telephone_number": "918-773-5045",
            "fax_number": "918-773-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BLACKSTONE",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749621437",
            "telephone_number": "918-773-5045",
            "fax_number": "918-773-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIAN EYE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-773-5045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triton Health PLLC
• Triton Health PLLC
• Chelsie Andrea Vanek
• Vian Drug Company LLC (Vian Pharmacy)
• Vian Drug Company LLC (Vian Pharmacy)
• Vian Family Dental Clinic, Inc.
• Vian Nursing & Rehab LLC
• Vian Nursing Home, Inc
• Vian Public Schools
• Tammy Faye Watts

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.