Active NPI
20 20 Vision Inc
- Optician
- Kokomo, IN
National Provider Identifier
1295866978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- 20 20 VISION INC
- Practice address
- 104 N Dixon Rd
Kokomo, IN 46901-4154 - Phone
- (765) 459-3937
- Fax
- (765) 459-4430
- NPI assigned
- Mar 7, 2007
- 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
- Mrs. Angela Duggins
- Title
- Office Manager
- Phone
- (765) 459-3937
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
104 N Dixon Rd
Kokomo, IN 46901-4154
Mailing address
104 N Dixon Rd
Kokomo, IN 46901-4154
Phone (765) 459-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201001990A | Medicaid | IN | |
| 201226510A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- 20 20 Vision Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Kokomo, IN
- NPI 1710376645
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Kokomo, IN
- NPI 1306884200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1295866978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014154",
"telephone_number": "765-459-3937",
"fax_number": "765-459-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014154",
"telephone_number": "765-459-3937",
"fax_number": "765-459-4430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "20 20 VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "DUGGINS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "765-459-3937",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201001990A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201226510A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.