NPIMap

Organization Active NPI

Mansfield Vision Center LLC

  • Clinic/Center
  • Mansfield, TX
National Provider Identifier
1407020985
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Kyle CookeNPI 1265501332
Title
Owner
Phone
(817) 453-4682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4960TG TX Primary

Addresses

Primary practice location

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

Mailing address

990 Highway 287 N Ste 109
Mansfield, TX 76063-2611
Phone (817) 453-4682

National Provider Directory

National Provider Directory

Locations

990 Highway 287 N
Ste 109
Mansfield, TX 76063
Phone (817) 453-4682

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Mansfield, TX

Sources for this page

  • 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.