Tea Vision Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

TEA VISION INC

Practice address

5 Putnam Villiage
Teays, WV 25569

Phone

(304) 757-8883

Fax

(304) 757-8883

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Howard David Rose

Title

President

Phone

(304) 757-8883

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valley Vision Teays Other name

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922178474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "address_2": "5 PUTNAM VILLIAGE",
            "city": "TEAYS",
            "state": "WV",
            "postal_code": "255690336",
            "telephone_number": "304-757-8883",
            "fax_number": "304-757-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PUTNAM VILLIAGE",
            "city": "TEAYS",
            "state": "WV",
            "postal_code": "25569",
            "telephone_number": "304-757-8883",
            "fax_number": "304-757-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEA VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-757-8883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151333001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vision Teays",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.