Ada Vision Source

Primary specialty

OptometristTaxonomy code 152W00000X

License

OK2031 Issued in OK

Legal business name

ADA VISION SOURCE

Practice address

700 E Main St
Ada, OK 74820-5614

Phone

(580) 332-3936

NPI assigned

Jul 11, 2007

Last updated

Jun 21, 2018By 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

Mr. James Kevin Cunningham, O.D.NPI 1871502674

Title

Owner

Phone

(580) 332-3936

Specialties & licenses 1

Addresses

Other identifiers 2

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James K Cunningham, OD

  • Corneal and Contact Management Optometrist
  • Ada, OK
  • NPI 1871502674
  Authorized official Same address or phone

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1972702983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205614",
            "telephone_number": "580-332-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205614",
            "telephone_number": "580-332-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA VISION SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-332-3936",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "440761954001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ada Senior Care Center
• Ada Smile Place, PLLC
• Ada SNF Operations, LLC (Ada Care Center)
• Ada Valley Anesthesia PLLC
• Ada Vision Inc
• Angel Adams, CMII
• Melissa Lynn Adams, D.P.M
• Addiction & Behavioral Health Center, in.
• Addiction & Behavioral Health Center, Inc
• Tiffany Addington

• Optometrist in Ada, OK
• Providers in Ada, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.