Vista Pem Providers, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

VISTA PEM PROVIDERS, LLC

Doing business as

Sandra O'neal Institute

Practice address

5072 W Plano Pkwy
Suite 190
Plano, TX 75093-4476

Phone

(469) 362-6909

NPI assigned

May 7, 2010

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Kassa

Title

Sr Vice President

Phone

(904) 515-0362

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Sandra O'neal Institute Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205

  Member Of

  NPD member

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1881912335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678282",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678282",
            "telephone_number": "469-362-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY",
            "address_2": "SUITE 190",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934476",
            "telephone_number": "469-362-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PEM PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "KASSA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "904-515-0362"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282161301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FTN041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra O'neal Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandra O'neal Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Visionworks, Inc. (Visionworks)
• Nazneen Visram
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• Vista Ophthalmology Associates, PA
• Vista Pem Providers, LLC
• Gita Viswam, M.D.
• Vita Nova Chiropractic LLC (Vita Nova Chiropractic)
• Vital Physician House Calls LLC
• Vitalbridge Medical Supply LLC
• Vitalcare Medical Supplies LLC

• Radiology Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.