Provider Demographics
NPI:1265315147
Name:VIAN EYE CLINIC PLLC
Entity type:Organization
Organization Name:VIAN EYE CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:DON
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-773-5045
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:VIAN
Mailing Address - State:OK
Mailing Address - Zip Code:74962-0849
Mailing Address - Country:US
Mailing Address - Phone:918-773-5045
Mailing Address - Fax:918-773-5041
Practice Address - Street 1:117 S BLACKSTONE
Practice Address - Street 2:
Practice Address - City:VIAN
Practice Address - State:OK
Practice Address - Zip Code:74962-1437
Practice Address - Country:US
Practice Address - Phone:918-773-5045
Practice Address - Fax:918-773-5041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty