Vision Expo Group PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION EXPO GROUP PLLC

Doing business as

Vision Expo

Practice address

4605 S Cooper St
Arlington, TX 76017-5827

Phone

(817) 557-9595

Fax

(817) 465-1778

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christian R Twamley, ODNPI 1144210592

Title

President

Phone

(817) 557-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vision Expo Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Twamley, OD

  • Optometrist
  • Arlington, TX
  • NPI 1144210592
  Medicare reassignment Care Compare group NPD Authorized official
• Paulina Phuong Phan, O.D.

  • Optometrist
  • Arlington, TX
  • NPI 1760453062
  Medicare reassignment Care Compare group NPD
• Timothy Edward Bowers, O.D.

  • Optometrist
  • Fort Worth, TX
  • NPI 1801847116
  Medicare reassignment NPD
• Jonathan Edward Hebda, O.D

  • Optometrist
  • Crossroads, TX
  • NPI 1295963924
  Medicare reassignment NPD
• Rebecca Jourdan, O.D.

  • Optometrist
  • Arlington, TX
  • NPI 1710331160
  Medicare reassignment NPD
• Melissa Reveles, OD

  • Optometrist
  • Dallas, TX
  • NPI 1285355404
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1730305012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-557-9595",
            "fax_number": "817-465-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-557-9595",
            "fax_number": "817-465-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EXPO GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "TWAMLEY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-557-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163453702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Expo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vipcare Texas LLC
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• Nadia Virani, OD
• Virginia Principle Care PLLC
• Vision Correction Center, P.a.
• Vision Palace, P.C.
• Vision Science and Eyecare Holdings PLLC
• Visionworks, Inc.
• Visit Home Health Care Services Inc
• Austin Viskozki, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.