Organization Active NPI

Vision Clinics Inc

  • Optometrist
  • Bixby, OK
National Provider Identifier
1740470079
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1065 Issued in OK
Legal business name
VISION CLINICS INC
Practice address
13404 S Memorial Dr
Bixby, OK 74008-3104
Phone
(918) 369-2020
Fax
(918) 369-8600
NPI assigned
Aug 1, 2007
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Jay P Ward, ODNPI 1679544191
Title
Partner
Phone
(918) 369-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1050 OK
Optometrist 152W00000X 1065 OK Primary

Addresses

Primary practice location

13404 S Memorial Dr
Bixby, OK 74008-3104

Mailing address

13404 S Memorial Dr
Bixby, OK 74008-3104
Phone (918) 369-2020

Other identifiers 2

IdentifierTypeStateIssuer
731189381001OtherOKBCBS
731189381002OtherOKBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000467 OK Part B Supplier - Clinic/Group Practice 7517019391 Receives reassigned benefits from 2 practitioners
Practice locations: Bixby, OK

National Provider Directory

National Provider Directory

Locations

13404 S Memorial Dr
Bixby, OK 74008
Phone (918) 369-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1740470079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13404 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083104",
            "telephone_number": "918-369-2020",
            "fax_number": "918-369-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13404 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083104",
            "telephone_number": "918-369-2020",
            "fax_number": "918-369-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "918-369-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1050",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "731189381001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "731189381002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.