NPIMap

Organization Active NPI

Elevate Vision Therapy, PLLC

  • Vision Therapy Optometrist
  • Hurst, TX
National Provider Identifier
1689126310
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
6934TG Issued in TX
Legal business name
ELEVATE VISION THERAPY, PLLC
Practice address
751 Mid Cities Blvd
Hurst, TX 76054-2748
Phone
(817) 656-2020
Fax
(817) 656-5908
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Blake Hughes, O.D.NPI 1750300547
Title
Owner
Phone
(817) 656-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 6934TG TX Primary

Addresses

Primary practice location

751 Mid Cities Blvd
Hurst, TX 76054-2748

Mailing address

751 Mid Cities Blvd
Hurst, TX 76054-2748
Phone (817) 656-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1689126310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542748",
            "telephone_number": "817-656-2020",
            "fax_number": "817-656-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542748",
            "telephone_number": "817-656-2020",
            "fax_number": "817-656-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE VISION THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-656-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "6934TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.