Professional Vision Associates

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PROFESSIONAL VISION ASSOCIATES

Doing business as

Eyecare Vision Centers

Practice address

400 S Vermont Ave Ste 132-a
Oklahoma City, OK 73108-1042

Phone

(405) 947-3937

Fax

(405) 943-6002

NPI assigned

May 19, 2010

Last updated

Jul 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Madore, ABOC

Title

General Manager

Phone

(405) 947-3937

Specialties & licenses 2

Addresses

Other names 1

• Eyecare Vision Centers Doing business as

Locations

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1679892442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S VERMONT AVE STE 132-A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081042",
            "telephone_number": "405-947-3937",
            "fax_number": "405-943-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S VERMONT AVE STE 132-A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081042",
            "telephone_number": "405-947-3937",
            "fax_number": "405-943-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "MADORE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "405-947-3937",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.