Organization Active NPI

Nocona Vision PLLC

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1811601115
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NOCONA VISION PLLC
Practice address
3821 W El Paso St
Broken Arrow, OK 74012-4513
Phone
(580) 919-8631
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Anthony S BatteseNPI 1710396965
Title
Owner
Phone
(361) 571-5532

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 Primary

Addresses

Primary practice location

3821 W El Paso St
Broken Arrow, OK 74012-4513

Mailing address

3821 W El Paso St
Broken Arrow, OK 74012-4513
Phone (580) 919-8631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012003746 OK Part B Supplier - Clinic/Group Practice 1557716479 Receives reassigned benefits from 1 practitioner
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

424 N Date Ave
Broken Arrow, OK 74012
Phone (918) 251-5343

Practitioners & affiliated clinicians

Practitioners 1

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": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1811601115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 W EL PASO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124513",
            "telephone_number": "580-919-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 W EL PASO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124513",
            "telephone_number": "580-919-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOCONA VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "BATTESE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-571-5532"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.