NPIMap

Organization Active NPI

Mobile Bay Vision, LLC

  • Optometrist
  • Mobile, AL
National Provider Identifier
1093102386
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD-27-TA-989 Issued in AL
Legal business name
MOBILE BAY VISION, LLC
Practice address
301 Saint Joseph St
Mobile, AL 36602-4037
Phone
(251) 433-7717
Fax
(251) 433-9384
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Dr. Lance Hankinson
Title
Member
Phone
(251) 433-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SD-27-TA-989 AL Primary

Addresses

Primary practice location

301 Saint Joseph St
Mobile, AL 36602-4037

Mailing address

301 Saint Joseph St
Mobile, AL 36602-4037
Phone (251) 433-7717

National Provider Directory

National Provider Directory
Tax ID family
Mobile Bay Vision LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1093102386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT JOSEPH ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366024037",
            "telephone_number": "251-433-7717",
            "fax_number": "251-433-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT JOSEPH ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366024037",
            "telephone_number": "251-433-7717",
            "fax_number": "251-433-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE BAY VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "HANKINSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "251-433-7717",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SD-27-TA-989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 24, 2015; 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.