Hero Vision of Garnett Plaza PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HERO VISION OF GARNETT PLAZA PLLC

Doing business as

Adventure Dental, Vision and Orthodontics

Practice address

11331 E 31St St
Tulsa, OK 74146-1906

Phone

(719) 576-1850

NPI assigned

Dec 2, 2019

Organization subpart

No

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

Authorized official

Name

Shaun Urbanozo

Title

Credentialing Manager

Phone

(719) 576-1850

Specialties & licenses 1

Addresses

Other names 1

• Adventure Dental, Vision and Orthodontics Doing business as

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1336786094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461906",
            "telephone_number": "719-576-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO VISION OF GARNETT PLAZA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-576-1850"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental, Vision and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hero Dental of Garnett PC
• Hero Dental of Oklahoma PC
• Hero Dental of Oklahoma PC
• Hero Dental of Oklahoma PC
• Hero Dental of Tulsa PC
• Hero Vision of Utica, LLC
• Brandie Herren, RN
• Travis Herren
• Lashauna Herrera Romero
• Angel Manuel Herrera

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.