NPIMap

Organization Active NPI

Ultimate Vision, PLLC

  • Optometrist
  • Yukon, OK
National Provider Identifier
1750428728
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2308 Issued in OK
Legal business name
ULTIMATE VISION, PLLC
Practice address
334 S Mustang Rd
Yukon, OK 73099-6703
Phone
(405) 324-0001
Fax
(405) 324-0015
NPI assigned
Jan 31, 2007
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. John Mace, O.D.NPI 1235215393
Title
Owner
Phone
(405) 324-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2308 OK Primary

Addresses

Primary practice location

334 S Mustang Rd
Yukon, OK 73099-6703

Mailing address

334 S Mustang Rd
Yukon, OK 73099-6703
Phone (405) 324-0001

National Provider Directory

National Provider Directory

Locations

334 S Mustang Rd
Yukon, OK 73099
Phone (405) 324-0001

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1750428728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996703",
            "telephone_number": "405-324-0001",
            "fax_number": "405-324-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996703",
            "telephone_number": "405-324-0001",
            "fax_number": "405-324-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-324-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.