Organization Active NPI

Ada Vision Inc

  • Optometrist
  • Ada, OK
National Provider Identifier
1265682140
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2512 Issued in OK
Legal business name
ADA VISION INC
Practice address
500 N Monte Vista St
Suite 3
Ada, OK 74820-4670
Phone
(580) 272-9600
Fax
(580) 272-9602
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. Courtney K Bratton, OD
Title
Optometrist
Phone
(580) 272-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2512 OK Primary

Addresses

Primary practice location

500 N Monte Vista St
Suite 3
Ada, OK 74820-4670

Mailing address

500 N Monte Vista St
Suite 3
Ada, OK 74820-4670
Phone (580) 272-9600

National Provider Directory

National Provider Directory

Locations

500 N Monte Vista St
Ste 3
Ada, OK 74820
Phone (580) 272-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1265682140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MONTE VISTA ST",
            "address_2": "SUITE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204670",
            "telephone_number": "580-272-9600",
            "fax_number": "580-272-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MONTE VISTA ST",
            "address_2": "SUITE 3",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204670",
            "telephone_number": "580-272-9600",
            "fax_number": "580-272-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "BRATTON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "580-272-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.