Organization Active NPI

Vision Express, LTD

  • Optometrist
  • Clovis, NM
National Provider Identifier
1477675304
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NM309 Issued in NM
Legal business name
VISION EXPRESS, LTD
Practice address
1120 E Manana Blvd
Clovis, NM 88101-3822
Phone
(575) 769-1010
Fax
(575) 769-1010
NPI assigned
Apr 4, 2007
Last updated
Oct 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Dr. Joseph Thomas Pope, ODNPI 1700097961
Title
Owner
Phone
(575) 769-1010

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
Optometrist 152W00000X NM309 NM Primary

Addresses

Primary practice location

1120 E Manana Blvd
Clovis, NM 88101-3822

Mailing address

1120 E Manana Blvd
Clovis, NM 88101-3822
Phone (575) 769-1010

Other identifiers 1

IdentifierTypeStateIssuer
000P0623MedicaidNM

National Provider Directory

National Provider Directory

Locations

1120 E Manana Blvd
Clovis, NM 88101
Phone (505) 742-2117

Practitioners & affiliated clinicians

Practitioners 1

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1477675304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E MANANA BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013822",
            "telephone_number": "575-769-1010",
            "fax_number": "575-769-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E MANANA BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013822",
            "telephone_number": "575-769-1010",
            "fax_number": "575-769-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EXPRESS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-769-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NM309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000P0623",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.