NPIMap

Organization Active NPI

Norman Vision Clinic, PLLC

  • Optometrist
  • Moore, OK
National Provider Identifier
1982149969
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2098 Issued in OK
Legal business name
NORMAN VISION CLINIC, PLLC
Practice address
705 City Ave
Moore, OK 73160-3819
Phone
(405) 794-7544
Fax
(405) 794-7599
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Troy A Flax, O.D.NPI 1902912041
Title
Partner
Phone
40532121255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2098 OK Primary

Addresses

Primary practice location

705 City Ave
Moore, OK 73160-3819

Mailing address

705 City Ave
Moore, OK 73160-3819
Phone (405) 794-7544

Other names 1

  • Moore Vision Source Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060110000688 OK Part B Supplier - Clinic/Group Practice 4981627593 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Moore, OK; Norman, OK
O20180217000086 OK DME Supplier - Physician - Optometrist 4981627593 Practice locations: Moore, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Norman Vision Clinic LLC2 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.

Interoperability endpoints

  • Direct secure messaging: mnewcomer@moorenormanvc.eyefinity-direct.com
  • Direct secure messaging: tflax@moorenormanvc.eyefinity-direct.com
  • Direct secure messaging: mvenard@moorenormanvc.eyefinity-direct.com
  • Direct secure messaging: pmartin@moorenormanvc.eyefinity-direct.com
  • Direct secure messaging: trankin@moorenormanvc.eyefinity-direct.com
  • Direct secure messaging: jpettigrew@moorenormanvc.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1982149969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CITY AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603819",
            "telephone_number": "405-794-7544",
            "fax_number": "405-794-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CITY AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603819",
            "telephone_number": "405-794-7544",
            "fax_number": "405-794-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN VISION CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "FLAX",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "40532121255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.