NPIMap

Organization Active NPI

Pro Vision Optical

  • Eyewear Supplier
  • Gallup, NM
National Provider Identifier
1295259554
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PRO VISION OPTICAL
Practice address
1300 W Maloney Ave Ste 208
Gallup, NM 87301-3325
Phone
(505) 722-2294
Fax
(505) 726-2871
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Norma KarramNPI 1558882910
Title
Owner
Phone
(505) 269-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1300 W Maloney Ave Ste 208
Gallup, NM 87301-3325

Mailing address

1300 W Maloney Ave Ste 208
Gallup, NM 87301-3325
Phone (505) 722-2294

National Provider Directory

National Provider Directory

Locations

1300 W Maloney Ave
Ste 208
Gallup, NM 87301
Phone (505) 269-9099

Practitioners & affiliated clinicians

Practitioners 2

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": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295259554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W MALONEY AVE STE 208",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873013325",
            "telephone_number": "505-722-2294",
            "fax_number": "505-726-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W MALONEY AVE STE 208",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873013325",
            "telephone_number": "505-722-2294",
            "fax_number": "505-726-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KARRAM",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-269-9099",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.