Vision Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

701 O.D. Issued in WV

Legal business name

VISION ASSOCIATES, INC.

Practice address

223 4TH Ave
Saint Albans, WV 25177-2821

Phone

(304) 727-8321

Fax

(304) 727-8841

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Montgomery Vickers, O.D.

Title

Clinical Director

Phone

(304) 727-8321

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Steven Michael Potwin, OD

  • Optometrist
  • Saint Albans, WV
  • NPI 1326335282
  NPD (past)
• John F. Wiles, OD

  • Optometrist
  • Saint Albans, WV
  • NPI 1942289418
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1003864976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251770048",
            "telephone_number": "304-727-8321",
            "fax_number": "304-727-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 4TH AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772821",
            "telephone_number": "304-727-8321",
            "fax_number": "304-727-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "MONTGOMERY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-727-8321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "701 O.D.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150620000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4321742",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Vance
• Stacey Vance, PRSS
• Ashley Vancross
• Jeremy Vest
• Melissa Villalobos
• Janiann Hope Wade
• Cheyenne Nicole Wageman
• Ruth Wagner
• Shanta Wagner
• Shantha Walden

• Optometrist in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.