NPIMap

Organization Active NPI

North Platte Vision Center, LLC

  • Eyewear Supplier
  • North Platte, NE
National Provider Identifier
1992986467
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
953 Issued in NE
Legal business name
NORTH PLATTE VISION CENTER, LLC
Practice address
402 S Dewey St
North Platte, NE 69101-5423
Phone
(308) 532-1753
Fax
(308) 532-3480
NPI assigned
Nov 26, 2007
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Mark Allan Blackledge, O.D.NPI 1679521397
Title
Optometrist
Phone
(308) 532-1753

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
Eyewear Supplier 332H00000X 953 NE Primary

Addresses

Primary practice location

402 S Dewey St
North Platte, NE 69101-5423

Mailing address

402 S Dewey St
North Platte, NE 69101-5423
Phone (308) 532-1753

National Provider Directory

National Provider Directory

Locations

402 S Dewey St
North Platte, NE 69101
Phone (308) 532-1753

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1992986467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S DEWEY ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015423",
            "telephone_number": "308-532-1753",
            "fax_number": "308-532-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S DEWEY ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015423",
            "telephone_number": "308-532-1753",
            "fax_number": "308-532-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PLATTE VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BLACKLEDGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "308-532-1753",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.