Organization Active NPI

Vision & Eye Healthcare. LLC

  • Optometrist
  • Anniston, AL
National Provider Identifier
1194020800
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C04-TA-823 Issued in AL
Legal business name
VISION & EYE HEALTHCARE. LLC
Practice address
5560 McClellan Blvd
Anniston, AL 36206-1664
Phone
(256) 820-2800
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. Joann Meadows Tyson, O.D.NPI 1578898557
Title
Optometrist
Phone
(256) 225-1689

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 S-C04-TA-823 AL Primary

Addresses

Primary practice location

5560 McClellan Blvd
Anniston, AL 36206-1664

Mailing address

101 Avery Dr
Anniston, AL 36205-3606
Phone (256) 225-1689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000350 AL Part B Supplier - Clinic/Group Practice 0749465243 Receives reassigned benefits from 1 practitioner
Practice locations: Anniston, AL

National Provider Directory

National Provider Directory

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": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1194020800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVERY DR",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362053606",
            "telephone_number": "256-225-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 MCCLELLAN BLVD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362061664",
            "telephone_number": "256-820-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION & EYE HEALTHCARE. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "MEADOWS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "256-225-1689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C04-TA-823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.