Active NPI
Motley Vision Professionals, PLLC
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1285134387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2601
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200757780A | Medicaid | OK |
Other names 1
- Full Spectrum Optometry
National Provider Directory
National Provider DirectoryLocations
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.