West Vision Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

7624TG Issued in TX

Legal business name

WEST VISION CARE

Practice address

2209 Firestone Cir
Tyler, TX 75703-5870

Phone

(832) 293-2727

NPI assigned

Sep 14, 2011

Organization subpart

No

Name

Dr. Jacob Colt WestNPI 1801109525

Title

President/ Ceo

Phone

(832) 293-2727

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

• Jacob Colt West, O.D.

  • Optometrist
  • Tyler, TX
  • NPI 1801109525
  Medicare reassignment NPD Authorized official
• Amy A Fisher, O.D.

  • Optometrist
  • Tyler, TX
  • NPI 1538223532

  TX

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2011.

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1306128483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FIRESTONE CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 FIRESTONE CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035870",
            "telephone_number": "832-293-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "COLT",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "832-293-2727",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7624TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Marie Wells, MIDWIFE
• Christy Janine Welvaert, FNP-C
• Detlef Wencker, MD
• Jennifer Marie Werner, DPT
• Nehemiah M Wesley Sr., PT
• West Wharton County Hospital District
• West Wharton County Hospital District
• West Wharton County Hospital District
• Adrienne West
• Jacob Colt West, O.D.

• All providers in Tyler, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.

Verify at the official NPI Registry.