Organization Active NPI

Advanced Visioncare

  • Exclusive Provider Organization
  • Desoto, TX
National Provider Identifier
1851623615
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
4711T Issued in TX
Legal business name
ADVANCED VISIONCARE
Practice address
600 N Hampton Rd
Desoto, TX 75115-4508
Phone
(972) 223-5354
Fax
(972) 274-0607
NPI assigned
Feb 4, 2010
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. James Kevin Smith, O.D.NPI 1710040571
Title
Docotor of Oprometry
Phone
(972) 223-5354

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
Exclusive Provider Organization 302F00000X 4711T TX Primary

Addresses

Primary practice location

600 N Hampton Rd
Desoto, TX 75115-4508

Mailing address

600 N Hampton Rd
Desoto, TX 75115-4508
Phone (972) 223-5354

National Provider Directory

National Provider Directory

Locations

600 N Hampton Rd
Desoto, TX 75115
Phone (972) 223-5354

Practitioners & affiliated clinicians

Practitioners 2

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": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1851623615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154508",
            "telephone_number": "972-223-5354",
            "fax_number": "972-274-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154508",
            "telephone_number": "972-223-5354",
            "fax_number": "972-274-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISIONCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DOCOTOR OF OPROMETRY",
        "authorized_official_telephone_number": "972-223-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "4711T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.