Vision Source of Hugo, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2096 Issued in OK

Legal business name

VISION SOURCE OF HUGO, INC.

Practice address

806 E Jackson St
Hugo, OK 74743-4222

Phone

(580) 326-3319

Fax

(580) 326-3310

NPI assigned

Mar 12, 2007

Last updated

Apr 27, 2010By 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

Ginny Edwards

Title

Office Manager

Phone

(580) 326-3319

Specialties & licenses 1

Addresses

Other identifiers 3

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

Tax ID family

Vision Source of Hugo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vision Source of Hugo, Inc.

  • Optometrist
  • Hugo, OK
  • NPI 1134249683
  NPD tax ID

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1922130095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434222",
            "telephone_number": "580-326-3319",
            "fax_number": "580-326-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434222",
            "telephone_number": "580-326-3319",
            "fax_number": "580-326-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE OF HUGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-326-3319"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "5836030001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00331640",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "463471774-002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Therapy Tree
• Kashia Nicole Thompson, LMSW
• Joshua Asher Tims, BHRS
• Tricounty Behavioral Health, LLC
• Vision Source of Hugo, Inc.
• Rebecca Ann Wade, COTA
• Victoria Louise Waggoner
• Ruthy M Waight
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0049)
• Tahnee Dianne Waldrum

• Durable Medical Equipment & Medical Supplies in Hugo, OK
• Providers in Hugo, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.