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Heritage Park Vision Source

Eyewear Supplier in Midwest City, OK · enumerated 2007 · authorized official Russell Laverty, Optometrist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851417117

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Registry record

Entity type Organization (Type 2)
Legal business name Heritage Park Vision Source
Other name <Unavail>
Practice address 6912 E Reno Ave, Suite 101, Midwest City, OK, 73110
Phone (405) 732-2277
Fax (405) 737-4776
Enumeration date Mar 21, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers · License 818 (OK) Primary

Authorized official

Name Russell Laverty
Title Optometrist
Phone (405) 732-2277

Other identifiers

Identifier Type State Issuer
CS4518 Other OK PALMETTO GROUP #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Heritage Park Vision Source?
NPPES lists Russell Laverty (Optometrist) as the authorized official for this organization.
What is the NPI number for Heritage Park Vision Source?
The NPI for Heritage Park Vision Source is 1851417117, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.