Blackwell Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLACKWELL VISION CENTER INC

Practice address

17 S Oak St
Sapulpa, OK 74066-4312

Phone

(918) 224-2610

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Christopher Ray Chenoweth, ODNPI 1750300992

Title

Dr/Owner

Phone

(580) 765-7509

Specialties & licenses 1

Addresses

Practitioners 3

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

• Christopher Ray Chenoweth, O.D.

  • Optometrist
  • Ponca City, OK
  • NPI 1750300992
  NPD Authorized official
• Andrew Coufal, OD

  • Optometrist
  • Ponca City, OK
  • NPI 1265108815
  NPD
• Abbie Etter, OD

  • Optometrist
  • Sapulpa, OK
  • NPI 1922836550
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1275243883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E PROSPECT AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746017404",
            "telephone_number": "580-765-7509",
            "fax_number": "580-765-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S OAK ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664312",
            "telephone_number": "918-224-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "CHENOWETH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "580-765-7509",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bios Corporation
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• Debra Blake
• Desiree Blake
• Joseph Blocker
• Rebecca Blossom, PTA
• Audria Bobbitt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.