Mansfield Vision Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4960TG Issued in TX

Legal business name

MANSFIELD VISION CENTER LLC

Practice address

990 Highway 287 N Ste 109
Mansfield, TX 76063-2611

Phone

(817) 453-4682

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Cooke

Title

Owner

Phone

(817) 453-4682

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristi Lynn Stephenson, OD

  • Optometrist
  • Hastings, NE
  • NPI 1609858620
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1407020985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HIGHWAY 287 N STE 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632611",
            "telephone_number": "817-453-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGHWAY 287 N STE 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632611",
            "telephone_number": "817-453-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-453-4682",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "4960TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansfield Physician Staffing, PLLC
• Mansfield Smiles and Orthodontics, PC
• Mansfield SNF LLC
• Mansfield Spinal Care
• Mansfield Surgical Plaza LLC
• Mansfield Walnut Creek Medical
• Soleima Dallana Mantilla, NP
• Miranda Manyande, M. S. CCC-SLP
• Tokriel M Manyiel
• Arash Manzori, DO

• Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.