Active NPI
Envision
- Optometrist
- Ardmore, OK
National Provider Identifier
1962767798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ENVISION
- Practice address
- 319 N Rockford Rd
Suite a
Ardmore, OK 73401-2552 - Phone
- (580) 223-3300
- NPI assigned
- Jul 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas C Wolf, MD
- Title
- Partner/Physician
- Phone
- (405) 737-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
319 N Rockford Rd
Suite a
Ardmore, OK 73401-2552
Mailing address
4109 Granada LN
Edmond, OK 73034-7175
National Provider Directory
National Provider DirectoryLocations
319 N Rockford Rd
Ste A
Ardmore, OK 73401
Phone (580) 223-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Oklahoma City, OK
- NPI 1508910498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341792000000",
"number": "1962767798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 GRANADA LN",
"city": "EDMOND",
"state": "OK",
"postal_code": "730347175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 N ROCKFORD RD",
"address_2": "SUITE A",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012552",
"telephone_number": "580-223-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PARTNER/PHYSICIAN",
"authorized_official_telephone_number": "405-737-1000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.