Active NPI
Light and Vision, Inc
- Optometrist
- Gardendale, AL
National Provider Identifier
1275617227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LIGHT AND VISION, INC
- Practice address
- 754 Main Street
Gardendale, AL 35071-2696 - Phone
- (205) 631-7700
- Fax
- (205) 631-0990
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Forte
- Title
- Office Manager
- Phone
- (205) 631-7700
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Sports Vision Optometrist | 152WS0006X |
Addresses
Primary practice location
754 Main Street
Gardendale, AL 35071-2696
Mailing address
PO Box 1919
Gardendale, AL 35071-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529804360 | Medicaid | AL |
Other names 1
- Southern Focus Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
754 Main St
Gardendale, AL 35071
Phone (205) 631-7700
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Gardendale, AL
- NPI 1306420674
-
- Optometrist
- Gardendale, AL
- NPI 1770652380
-
- Optometrist
- Hoover, AL
- NPI 1932548385
-
- Technician/Technologist
- Gardendale, AL
- NPI 1760221782
-
- Optometrist
- Cleveland, AL
- NPI 1053364596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1275617227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1919",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350711919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 MAIN STREET",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712696",
"telephone_number": "205-631-7700",
"fax_number": "205-631-0990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHT AND VISION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "FORTE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "205-631-7700"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529804360",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Focus Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.