Blackwell Vision Center Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

2154 Issued in OK

Legal business name

BLACKWELL VISION CENTER INC

Practice address

202 E Blackwell Ave
Blackwell, OK 74631-2910

Phone

(580) 363-2385

Fax

(580) 363-1618

NPI assigned

Jan 30, 2007

Last updated

Sep 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher R Chenoweth, ODNPI 1750300992

Title

Owner

Phone

(580) 363-2385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

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.

• Christopher Ray Chenoweth, O.D.

  • Optometrist
  • Ponca City, OK
  • NPI 1750300992
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Coufal, OD

  • Optometrist
  • Ponca City, OK
  • NPI 1265108815
  Medicare reassignment Care Compare group NPD
• Abbie Etter, OD

  • Optometrist
  • Sapulpa, OK
  • NPI 1922836550
  Medicare reassignment Care Compare group NPD
• Donald Ray Kelle, O.D.

  • Optometrist
  • Ponca City, OK
  • NPI 1265520951
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1447397682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E BLACKWELL AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312910",
            "telephone_number": "580-363-2385",
            "fax_number": "580-363-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E BLACKWELL AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746312910",
            "telephone_number": "580-363-2385",
            "fax_number": "580-363-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "CHENOWETH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-363-2385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackwell Hospital Trust Authority (Blackwell Hospital Physician's Clinic)
• Blackwell Pharmacy LLC (Hutton Pharmacy Long-Term Care)
• Blackwell Pharmacy LLC (Hutton Pharmacy)
• Blackwell Public Schools
• Blackwell Regional Hospital Trust Authority (Blackwell Regional Hospital)
• Jeffrey S Blanton, DC
• Paul A. Briggs, M.D.
• Rebecca Marcelle Bristow, D.C.
• Samuel David Bryner, DMD
• Kelsey Burnett, PA-C

• Eyewear Supplier in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Eyewear Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.