Organization Active NPI

Show Vision, LLC

  • Optometrist
  • Millbrook, AL
National Provider Identifier
1417449216
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S831TA373 Issued in AL
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

Updated by the provider on Jul 11, 2018

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X S831TA373 AL Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
S-831-TA-373OtherALSTATE LICENSE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.