NPIMap

Organization Active NPI

Hero Vision of Brockton, PC

Doing business as Adventure Vision

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1730368788
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4650 Issued in MA
Legal business name
HERO VISION OF BROCKTON, PC
Doing business as
Adventure Vision
Practice address
2440 S Academy Blvd
Colorado Springs, CO 80916-2408
Phone
(719) 576-1850
NPI assigned
Oct 26, 2007
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Michael G. Pharris, O.D.NPI 1497828776
Title
Owner
Phone
(719) 576-1850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4650 MA Primary

Addresses

Primary practice location

2440 S Academy Blvd
Colorado Springs, CO 80916-2408

Mailing address

21 Torrey St Ste 10
Brockton, MA 02301-4849
Phone (719) 576-1850

Other names 1

  • Adventure Vision Doing business as

National Provider Directory

National Provider Directory

Locations

21 Torrey St
Ste 10
Brockton, MA 02301
Phone (508) 587-0012

Practitioners & affiliated clinicians

Practitioners 4

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": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1730368788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TORREY ST STE 10",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014849",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 S ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162408",
            "telephone_number": "719-576-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO VISION OF BROCKTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "PHARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-576-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.