Sutton Vision Center Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1183 Issued in NE

Legal business name

SUTTON VISION CENTER INC

Practice address

103 N Saunders Ave
Sutton, NE 68979-2506

Phone

(402) 773-5616

Fax

(402) 302-1991

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Jessica D Moore, O.D.NPI 1043207194

Title

Owner

Phone

(402) 366-6966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Jessica Dyan Moore, O.D.

  • Optometrist
  • Sutton, NE
  • NPI 1043207194
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1588950869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "SUTTON",
            "state": "NE",
            "postal_code": "689790075",
            "telephone_number": "402-773-5616",
            "fax_number": "402-773-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N SAUNDERS AVE",
            "city": "SUTTON",
            "state": "NE",
            "postal_code": "689792506",
            "telephone_number": "402-773-5616",
            "fax_number": "402-302-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTON VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-366-6966",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Central Chiropractic, P.C.
• Tanna May Spencer
• Sutton Community Home Inc
• Sutton Community Home, Inc
• Sutton Public Schools
• The Mary Lanning Memorial Hospital Association (Mary Lanning Hospice)
• The Mary Lanning Memorial Hospital Association (Sutton Medical Clinic)
• Catherine Johanna Youngblood, LMSW

• Eyewear Supplier in Sutton, NE
• Providers in Sutton, NE by specialty
• Eyewear Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.