Active NPI
Vision World Inc
- Eyewear Supplier
- Sioux City, IA
National Provider Identifier
1619052602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- VISION WORLD INC
- Practice address
- 4400 Sergeant Road
Sioux City, IA 51106 - Phone
- (712) 276-4686
- Fax
- (712) 276-4712
- NPI assigned
- Oct 26, 2006
- 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
- Doug Newcom
- Title
- Officer
- Phone
- (210) 524-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4400 Sergeant Road
Sioux City, IA 51106
Mailing address
11103 West Avenue
Suite #6
San Antonio, TX 78213
Phone (210) 524-6663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002011700 | Medicaid | MN | |
| 0460741 | Medicaid | IA |
Other names 1
- Vision World
National Provider Directory
National Provider Directory- Tax ID family
- Vision World
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Brooklyn Center, MN
- NPI 1093891418
-
- Eyewear Supplier
- Minneapolis, MN
- NPI 1093894636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1619052602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVENUE",
"address_2": "SUITE #6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78213",
"telephone_number": "210-524-6663",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 SERGEANT ROAD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51106",
"telephone_number": "712-276-4686",
"fax_number": "712-276-4712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION WORLD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "NEWCOM",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "210-524-6700"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002011700",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0460741",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision World",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.