Organization Active NPI

Light and Vision, Inc

  • Optometrist
  • Gardendale, AL
National Provider Identifier
1275617227
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
James ForteNPI 1760221782
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X

Addresses

Primary practice location

754 Main Street
Gardendale, AL 35071-2696

Mailing address

PO Box 1919
Gardendale, AL 35071-1919

Other identifiers 1

IdentifierTypeStateIssuer
529804360MedicaidAL

Other names 1

  • Southern Focus Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000595 AL Part B Supplier - Clinic/Group Practice 2163529868 Receives reassigned benefits from 3 practitioners
Practice locations: Gardendale, AL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.