Downtown Vision Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1173 Issued in TN

Legal business name

DOWNTOWN VISION CENTER, P.C.

Practice address

1239 Vann Dr
Jackson, TN 38305-6024

Phone

(731) 422-3811

Fax

(731) 422-5681

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Andrew Malec, O.D.NPI 1972592152

Title

Pres.

Phone

(731) 422-3811

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• william malec & associates Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• William Andrew Malec

  • Optometrist
  • Jackson, TN
  • NPI 1972592152
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1467625533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 VANN DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056024",
            "telephone_number": "731-422-3811",
            "fax_number": "731-422-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 VANN DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056024",
            "telephone_number": "731-422-3811",
            "fax_number": "731-422-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MALEC",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "731-422-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3598725",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "william malec & associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hope Douglas, FNP
• Kelvin L. Douglas, M.D.
• Kyle David Douglas, MSW
• Laquisha Douglas, MSN, APRN, PMHNP-BC
• Joshua Downey, DO
• Seth Doyle
• Dr Mark Lynn & Associates PLLC
• Dr Mobile Imaging, LLC
• Dr. Andrew S. Rudin, M.D., P.C.
• Dr. Mark H Crowell PLLC

• Optometrist in Jackson, TN
• Providers in Jackson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.