Boomtown Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BOOMTOWN VISION PLLC

Practice address

312 S Avenue D
Burkburnett, TX 76354-3564

Phone

(940) 569-1177

Fax

(940) 569-4969

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 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

Sarah C Solomons, OD/OWNERNPI 1366798498

Title

OD/Owner

Phone

(940) 569-1177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Sarah Cooper Solomons, OD

  • Optometrist
  • Burkburnett, TX
  • NPI 1366798498
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1720447071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S AVENUE D",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543564",
            "telephone_number": "940-569-1177",
            "fax_number": "940-569-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S AVENUE D",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543564",
            "telephone_number": "940-569-1177",
            "fax_number": "940-569-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMTOWN VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "SOLOMONS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "940-569-1177",
        "authorized_official_credential": "OD/OWNER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Alfaro, FNP
• Nikesh N Almeida, P.T.
• Elisabeth Bledsoe, COTA
• William Hugh Breland
• Burk Smiles PLLC
• Burk Smiles PLLC
• Burk Smiles-Burkburnett PLLC
• Christina Burk

• Optometrist in Burkburnett, TX
• Providers in Burkburnett, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.