Advanced Visioncare of Fort Worth PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

4711T Issued in TX

Legal business name

ADVANCED VISIONCARE OF FORT WORTH PA

Practice address

4919 S Hulen St
Fort Worth, TX 76132-1407

Phone

(817) 370-2100

Fax

(817) 539-8035

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

James Kevin Smith

Title

Manager

Phone

(817) 370-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Edward Bowers, O.D.

  • Optometrist
  • Fort Worth, TX
  • NPI 1801847116
  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1891096962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321407",
            "telephone_number": "817-370-2100",
            "fax_number": "817-539-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321407",
            "telephone_number": "817-370-2100",
            "fax_number": "817-539-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISIONCARE OF FORT WORTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-370-2100"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4711T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Medical of North Texas PLLC
• Advanced Metabolism Care Associates (Trina Health Of North Texas)
• Advanced Neurological Services (Advanced Therapy Services)
• Advanced Neurological Services LLC (Advanced Therapy Services)
• Advanced Restorative Health, PLLC
• Advanced Visioncare of Mansfield PA
• Advancednp
• Advancerx Com L P (CaremarkPCS Texas Mail Pharmacy LLC dba Caremark)
• Advantage Access and Mobility
• Advantage Dental Oral Health Center of Texas, PC (Advantage Dental Plus)

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.