NPIMap

Organization Active NPI

Advanced Visioncare of Mansfield PA

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1447625975
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED VISIONCARE OF MANSFIELD PA
Practice address
4919 S Hulen St
Fort Worth, TX 76132-1407
Phone
(817) 370-2100
Fax
(817) 370-2113
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. James K Smith, ODNPI 1710040571
Title
Owner
Phone
(817) 370-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4919 S Hulen St
Fort Worth, TX 76132-1407

Mailing address

4919 S Hulen St
Fort Worth, TX 76132-1407
Phone (817) 370-2100

National Provider Directory

National Provider Directory

Locations

4919 S Hulen St
Fort Worth, TX 76132
Phone (817) 370-2100

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1447625975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321407",
            "telephone_number": "817-370-2100",
            "fax_number": "817-370-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321407",
            "telephone_number": "817-370-2100",
            "fax_number": "817-370-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISIONCARE OF MANSFIELD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-370-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.