Medical Vision Associates of Northport

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4669 Issued in AL

Legal business name

MEDICAL VISION ASSOCIATES OF NORTHPORT

Practice address

3101 Main Ave
Suite C
Northport, AL 35476-3111

Phone

(205) 330-0705

Fax

(205) 330-1750

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Larry Hugh Sumner

Title

Optician

Phone

(205) 330-0705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104943729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MAIN AVE",
            "address_2": "SUITE C",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763111",
            "telephone_number": "205-330-0705",
            "fax_number": "205-330-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAIN AVE",
            "address_2": "SUITE C",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763111",
            "telephone_number": "205-330-0705",
            "fax_number": "205-330-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL VISION ASSOCIATES OF NORTHPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "205-330-0705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Northport, AL
• Providers in Northport, AL by specialty
• Eyewear Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.