Active NPI
Show Vision, LLC
- Optometrist
- Millbrook, AL
National Provider Identifier
1417449216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S831TA373
- Legal business name
- SHOW VISION, LLC
- Practice address
- 758 Monument Dr
Millbrook, AL 36054 - Phone
- (334) 694-9001
- Fax
- (334) 517-4668
- NPI assigned
- Jun 6, 2018
- 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
- Dr. Denise M. Show, OD
- Title
- Owner
- Phone
- (334) 694-9001
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S831TA373 | AL | Primary |
| Optician | 156FX1800X |
Addresses
Primary practice location
758 Monument Dr
Millbrook, AL 36054
Mailing address
758 Monument Dr
Millbrook, AL 36054-1849
Phone (334) 694-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S-831-TA-373 | Other | AL | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531267200000",
"number": "1417449216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 MONUMENT DR",
"city": "MILLBROOK",
"state": "AL",
"postal_code": "360541849",
"telephone_number": "334-694-9001",
"fax_number": "334-517-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 MONUMENT DR",
"city": "MILLBROOK",
"state": "AL",
"postal_code": "36054",
"telephone_number": "334-694-9001",
"fax_number": "334-517-4668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOW VISION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-06",
"last_updated": "2018-07-11",
"status": "A",
"authorized_official_last_name": "SHOW",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-694-9001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AL",
"license": "S831TA373",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "S-831-TA-373",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millbrook, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.