Active NPI
Vision Express, LTD
- Optometrist
- Clovis, NM
National Provider Identifier
1477675304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NM309
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Thomas Pope, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000P0623 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Clovis, NM
- NPI 1700097961
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.