Elite Vision, PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2671 Issued in AR

Legal business name

ELITE VISION, PLC

Practice address

5111 Rogers Ave
Suite 54
Fort Smith, AR 72903-2047

Phone

(479) 452-1496

Fax

(479) 452-1830

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Brandon Swink, O.D.

Title

President

Phone

(314) 600-1504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1760762678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "SUITE 54",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-452-1496",
            "fax_number": "479-452-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "SUITE 54",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-452-1496",
            "fax_number": "479-452-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "SWINK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-600-1504",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elangwe Enterprises Inc
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• Elite 24 Health Group
• Elite Therapeutic Massage Center, LLC
• Elite Wellness & Aesthetics, PLLC
• Lana Ann Elkins, M.ED.
• Drew Samuel Ellenwood, D.D.S.
• Barbara Ellington, M.D.
• Jaimi Elliott, MD

• Optometrist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.