Organization Active NPI

Vision Center of Johnson County PC

  • Optometrist
  • Buffalo, WY
National Provider Identifier
1790967966
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CENTER OF JOHNSON COUNTY PC
Practice address
114 W Angus St
Buffalo, WY 82834-1830
Phone
(307) 684-5501
Fax
(307) 684-5503
NPI assigned
Nov 29, 2007
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Christopher L Jons, O.D.NPI 1639278732
Title
Owner
Phone
(307) 684-5501

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 NU Primary

Addresses

Primary practice location

114 W Angus St
Buffalo, WY 82834-1830

Mailing address

114 W Angus St
Buffalo, WY 82834-1830
Phone (307) 684-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080130000747 WY Part B Supplier - Clinic/Group Practice 4486736352 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, WY
O20100930062764 WY DME Supplier - Physician - Optometrist 4486736352 Practice locations: Buffalo, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vision Center of Johnson County PC114 W Angus St, Buffalo, WY 82834-1830(307) 684-5501 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 8, 2008

National Provider Directory

National Provider Directory

Locations

114 W Angus St
Buffalo, WY 82834
Phone (307) 684-5501

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": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1790967966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W ANGUS ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341830",
            "telephone_number": "307-684-5501",
            "fax_number": "307-684-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W ANGUS ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341830",
            "telephone_number": "307-684-5501",
            "fax_number": "307-684-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER OF JOHNSON COUNTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "JONS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-684-5501",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.