Southern Vision Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTHERN VISION EYE CARE LLC

Practice address

230 1St Ave E
Oneonta, AL 35121-1734

Phone

(205) 625-5520

Fax

(205) 810-0564

NPI assigned

May 14, 2020

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Molly Tipton, ODNPI 1679066401

Title

OD

Phone

(205) 625-5520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Molly Tipton

  • Optometrist
  • Albertville, AL
  • NPI 1679066401
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke Hubbard Clackley, OD

  • Optometrist
  • Oneonta, AL
  • NPI 1154003903
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1023630985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 1ST AVE E",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211734",
            "telephone_number": "205-625-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 1ST AVE E",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211734",
            "telephone_number": "205-625-5520",
            "fax_number": "205-810-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VISION EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "205-625-5520",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Skipper, CCC-SLP
• Smiles Oneonta
• Jayla Ann Smith, MD
• John Edward Smith, M.D.
• Michael Steven Smith, R.PH.
• St Vincents Blount
• St Vincents Blount (St Vincents Blount Physicians)
• St Vincents Blount (St. Vincents Blount Lab)
• St Vincents Blount (St Vincents Blount Swing Bed)
• St Vincents Blount (St Vincents Blount Physicians)

• Optometrist in Oneonta, AL
• Providers in Oneonta, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.