Aecc Total Vision Health Plan of Texas, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

28-094478 Issued in TX

Legal business name

AECC TOTAL VISION HEALTH PLAN OF TEXAS, INC.

Practice address

112 Zebulon Court
Rocky Mount, NC 27804-2420

Phone

(800) 334-3937

Fax

(252) 451-2928

NPI assigned

Aug 10, 2011

Last updated

Aug 10, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CENCORP HEALTH SOLUTIONS, INC.As reported in NPPES

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

Authorized official

Name

Mr. David M. Lavely

Title

President

Phone

(800) 334-3937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1841579729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7548",
            "address_2": "112 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "800-334-3937",
            "fax_number": "252-451-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "800-334-3937",
            "fax_number": "252-451-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AECC TOTAL VISION HEALTH PLAN OF TEXAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENCORP HEALTH SOLUTIONS, INC.",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "LAVELY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-334-3937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "28-094478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.