Organization Active NPI

VGR Vision, Inc

  • Optician
  • Fort Worth, TX
National Provider Identifier
1356705131
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VGR VISION, INC
Practice address
309 S Oakland Blvd
Fort Worth, TX 76103
Phone
(817) 534-4700
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Galina RoninNPI 1235463449
Title
Manager
Phone
(214) 392-7881

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

309 S Oakland Blvd
Fort Worth, TX 76103

Mailing address

1450 Eastchase Pkwy Ste 100
Fort Worth, TX 76120-4429
Phone (817) 460-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023003053 TX DME Supplier - Optician 5294027892 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

1450 Eastchase Pkwy
Ste 100
Fort Worth, TX 76120
Phone (817) 460-1600

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": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1356705131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EASTCHASE PKWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204429",
            "telephone_number": "817-460-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S OAKLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76103",
            "telephone_number": "817-534-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VGR VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "RONIN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-392-7881"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.