Provider Demographics
NPI:1720717796
Name:ESPY VISION, PLLC
Entity type:Organization
Organization Name:ESPY VISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:SAPPINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:806-678-5184
Mailing Address - Street 1:3406 4TH AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-4357
Mailing Address - Country:US
Mailing Address - Phone:806-884-2743
Mailing Address - Fax:806-884-2744
Practice Address - Street 1:3406 4TH AVE UNIT B
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-4357
Practice Address - Country:US
Practice Address - Phone:806-678-5184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty