Organization Active NPI

Vincent Van Houten, O.D., PC

  • Optometrist
  • Brookings, OR
National Provider Identifier
1669647228
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2990T Issued in OR
Legal business name
VINCENT VAN HOUTEN, O.D., PC
Practice address
325 5TH St
Located in the Optical Shoppe
Brookings, OR 97415-9658
Phone
(541) 469-5556
Fax
(541) 469-2875
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Vincent Duane Van Houten, O.D.
Title
Optometrist
Phone
(541) 469-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2990T OR Primary

Addresses

Primary practice location

325 5TH St
Located in the Optical Shoppe
Brookings, OR 97415-9658

Mailing address

325 5TH St
Located in the Optical Shoppe
Brookings, OR 97415-9658
Phone (541) 469-5556

National Provider Directory

National Provider Directory

Locations

325 5th St
Brookings, OR 97415
Phone (541) 469-1643

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1669647228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 5TH ST",
            "address_2": "LOCATED IN THE OPTICAL SHOPPE",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159658",
            "telephone_number": "541-469-5556",
            "fax_number": "541-469-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 5TH ST",
            "address_2": "LOCATED IN THE OPTICAL SHOPPE",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159658",
            "telephone_number": "541-469-5556",
            "fax_number": "541-469-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT VAN HOUTEN, O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "VAN HOUTEN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "541-469-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2990T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.