Organization Active NPI

KL Vision Associates, PLLC

  • Optometrist
  • Watauga, TX
National Provider Identifier
1376931394
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7603TG Issued in TX
Legal business name
KL VISION ASSOCIATES, PLLC
Practice address
8000 Denton Hwy
Watauga, TX 76148-2464
Phone
(817) 864-8701
Fax
(817) 864-8701
NPI assigned
Dec 29, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dung Khuat, OD
Title
Optometrist
Phone
(817) 864-8701

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7603TG TX Primary

Addresses

NPPES NPI Registry

Primary practice location

8000 Denton Hwy
Watauga, TX 76148-2464

Mailing address

8000 Denton Hwy
Watauga, TX 76148-2464
Phone (817) 864-8701

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2014.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1376931394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 DENTON HWY",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482464",
            "telephone_number": "817-864-8701",
            "fax_number": "817-864-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 DENTON HWY",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482464",
            "telephone_number": "817-864-8701",
            "fax_number": "817-864-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KL VISION ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "KHUAT",
        "authorized_official_first_name": "DUNG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "817-864-8701",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7603TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.