Superior Vision LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SUPERIOR VISION LLC

Practice address

1301 W Glade Rd Ste 196
Euless, TX 76039-5419

Phone

(817) 685-7200

Fax

(817) 685-7211

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Svetlana Ronin

Title

Manager

Phone

(817) 685-7200

Specialties & licenses 1

Addresses

Other names 1

• pearle vision Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1821139643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W GLADE RD STE 196",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395419",
            "telephone_number": "817-685-7200",
            "fax_number": "817-685-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W GLADE RD STE 196",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395419",
            "telephone_number": "817-685-7200",
            "fax_number": "817-685-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "RONIN",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-685-7200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.