Organization Active NPI

Vision Depot LLC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1770923401
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8217T Issued in TX
Legal business name
VISION DEPOT LLC
Practice address
1515 N Cockrell Hill Rd
Suite 104
Dallas, TX 75211-1315
Phone
(214) 337-2020
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Terry DONPI 1659601227
Title
Manager
Phone
(214) 337-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8217T TX Primary

Addresses

Primary practice location

1515 N Cockrell Hill Rd
Suite 104
Dallas, TX 75211-1315

Mailing address

1515 N Cockrell Hill Rd
Suite 104
Dallas, TX 75211-1315
Phone (214) 337-2020

Other names 1

  • Vision Depot Doing business as

National Provider Directory

National Provider Directory

Locations

1515 N Cockrell Hill Rd
Ste 104
Dallas, TX 75211
Phone (214) 337-2020

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1770923401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N COCKRELL HILL RD",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111315",
            "telephone_number": "214-337-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N COCKRELL HILL RD",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111315",
            "telephone_number": "214-337-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION DEPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-337-2020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8217T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Depot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.