Organization Active NPI

Motley Vision Professionals, PLLC

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1285134387
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2601 Issued in OK
Legal business name
MOTLEY VISION PROFESSIONALS, PLLC
Practice address
9805 N. May Avenue
Oklahoma City, OK 73120
Phone
(405) 749-2020
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Dr. Bridget Motley, O.D.
Title
Owner
Phone
(405) 749-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2601 OK Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

9805 N. May Avenue
Oklahoma City, OK 73120

Mailing address

21932 Toscana CT
Edmond, OK 73012-0919
Phone (405) 329-5613

Other identifiers 1

IdentifierTypeStateIssuer
200757780AMedicaidOK

Other names 1

  • Full Spectrum Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

9805 N May Ave
The Village, OK 73120
Phone (405) 749-2020

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1285134387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21932 TOSCANA CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120919",
            "telephone_number": "405-329-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 N. MAY AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-749-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTLEY VISION PROFESSIONALS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-749-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2601",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200757780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Spectrum Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2018; 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.