Enid Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2712 Issued in OK

Legal business name

ENID VISION CENTER PLLC

Practice address

3825 W Owen K Garriott Rd
Enid, OK 73703-4916

Phone

(580) 234-1313

Fax

(580) 234-1327

NPI assigned

Jun 28, 2012

Last updated

Jun 28, 2012By 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

Clint M Sproul, OD

Title

Owner/OD

Phone

(580) 234-1313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1689938292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034916",
            "telephone_number": "580-234-1313",
            "fax_number": "580-234-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034916",
            "telephone_number": "580-234-1313",
            "fax_number": "580-234-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "SPROUL",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "580-234-1313",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enid Radiology PLLC
• Enid Senior Care LLC
• Enid Surgical Anesthesia LLC
• Enid Urology Associates, Inc
• Enid Urology Associates, Inc.
• Enid Womens Healthcare Associates
• Paul S Erba, MD
• Erin K. Roberts, DDS, PLC (Healthy Smiles)
• Teresa Jeanne Etter, APRN-CNS
• Kelsey Marie Eubanks I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.