Ocvt So Corporation

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

7197 Issued in TX

Legal business name

OCVT SO CORPORATION

Practice address

255 E Sonterra Blvd
Suite 100
San Antonio, TX 78258-4075

Phone

(210) 490-9900

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Briana M Larson, D.O.

Title

Ceo

Phone

(210) 490-9900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1609220995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584075",
            "telephone_number": "210-490-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SONTERRA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584075",
            "telephone_number": "210-490-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCVT SO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-490-9900",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7197T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "7197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G Ockershausen, M.D.
• Carissa Oconnor, RBT
• Diana Oconnor, RBT
• John Brian Oconnor, MA LPC
• Sebastian Ocrospoma Heraud, MD
• Kiorrah Odejobi-Hill
• Olawunmi Olapeju Odele
• Michele Yvette Odell, LVN
• Spencer Douglas Odendahl, PA-C
• Eyitayo Odeniyi, DNP, GNP-BC, PMHNP-B

• Vision Therapy Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Vision Therapy Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.