Active NPI
Rural Vision Alliance LLC
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1386419877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- RURAL VISION ALLIANCE LLC
- Practice address
- 4301 N Classen Blvd
Oklahoma City, OK 73118-5031 - Phone
- (405) 604-3408
- NPI assigned
- Nov 15, 2023
- 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
- Mindy Stevenson
- Title
- Cfo
- Phone
- (405) 615-6698
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | |||
| Vision Therapy Optometrist | 152WV0400X | |||
| Low Vision Occupational Therapy Assistant | 224ZL0004X | |||
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | |||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | |||
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
4301 N Classen Blvd
Oklahoma City, OK 73118-5031
Mailing address
4301 N Classen Blvd
Oklahoma City, OK 73118-5031
Phone (405) 604-3408
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1386419877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N CLASSEN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185031",
"telephone_number": "405-604-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N CLASSEN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185031",
"telephone_number": "405-604-3408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL VISION ALLIANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "405-615-6698"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZL0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant, Low Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255R0406X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CX0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.