Active NPI
VGR Vision, Inc
- Optician
- Fort Worth, TX
National Provider Identifier
1356705131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Galina Ronin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023003053 | TX | DME Supplier - Optician | 5294027892 | Practice locations: Fort Worth, TX |
National Provider Directory
National Provider DirectoryLocations
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.