Organization Active NPI

The Visionary Optometrist

  • Optometrist
  • Mobile, AL
National Provider Identifier
1073196556
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THE VISIONARY OPTOMETRIST
Practice address
9751 Airport Blvd Ste B
Mobile, AL 36608-9521
Phone
(251) 880-2020
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Trinh Vo-Nguyen, ODNPI 1548510571
Title
Owner
Phone
(251) 880-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9751 Airport Blvd Ste B
Mobile, AL 36608-9521

Mailing address

9751 Airport Blvd Ste B
Mobile, AL 36608-9521
Phone (251) 880-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Contact@tvoeyecare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210624000109 AL Part B Supplier - Clinic/Group Practice 7012318306 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

9751 Airport Blvd
#B
Mobile, AL 36608
Phone (251) 880-2020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1073196556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 AIRPORT BLVD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089521",
            "telephone_number": "251-880-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 AIRPORT BLVD STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089521",
            "telephone_number": "251-880-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VISIONARY OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "VO-NGUYEN",
        "authorized_official_first_name": "TRINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-880-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Contact@tvoeyecare.com",
            "affiliation": "N",
            "address_1": "9751 Airport Blvd Ste B",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366089521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.