Organization Active NPI

Vision Optique Inc

  • Eyewear Supplier
  • Mandeville, LA
National Provider Identifier
1275617425
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VISION OPTIQUE INC
Practice address
2997 Highway 190
Mandeville, LA 70471-3298
Phone
(985) 727-9948
Fax
(985) 237-6008
NPI assigned
Oct 24, 2006
Organization subpart
Yes
Parent organization
VISION OPTIQUE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Roderick A Grueing
Title
President
Phone
(985) 727-9948

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2997 Highway 190
Mandeville, LA 70471-3298

Mailing address

PO Box 1950
Mandeville, LA 70470-1950
Phone (985) 727-9948

Other names 1

  • Vision Optique MDV Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000569 LA Part B Supplier - Clinic/Group Practice 4789670704 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, LA; Mandeville, LA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vision Optique4 organizations share this tax ID, including this one
Part of
Vision Optique

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1275617425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1950",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701950",
            "telephone_number": "985-727-9948",
            "fax_number": "985-237-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 HIGHWAY 190",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713298",
            "telephone_number": "985-727-9948",
            "fax_number": "985-237-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OPTIQUE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISION OPTIQUE INC",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GRUEING",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-727-9948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Optique MDV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.