Organization Active NPI

Vision Source, Inc.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1083775050
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SOURCE, INC.
Doing business as
GRAYSON VALLEY FAMILY EYE CARE
Practice address
5590 Chalkville Rd
Suite B
Birmingham, AL 35235-8636
Phone
(205) 520-9002
Fax
(205) 520-9064
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Harold Eugene Harrison, O.D.NPI 1619042850
Title
Vice President
Phone
(205) 520-9002

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

5590 Chalkville Rd
Suite B
Birmingham, AL 35235-8636

Mailing address

5590 Chalkville Rd
Suite B
Birmingham, AL 35235-8636
Phone (205) 520-9002

Other names 1

  • GRAYSON VALLEY FAMILY EYE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2040 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 520-9002

156 Main St
Trussville, AL 35173
Phone (205) 520-9002

Practitioners & affiliated clinicians

Practitioners 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1083775050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 CHALKVILLE RD",
            "address_2": "SUITE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358636",
            "telephone_number": "205-520-9002",
            "fax_number": "205-520-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 CHALKVILLE RD",
            "address_2": "SUITE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358636",
            "telephone_number": "205-520-9002",
            "fax_number": "205-520-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-520-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAYSON VALLEY FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.