Blue Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLUE VISION CENTER LLC

Practice address

2818 Lakeshore Pkwy
Birmingham, AL 35211-5500

Phone

(205) 417-2583

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Latandra Blue, ODNPI 1942634431

Title

Ceo/Owner

Phone

(205) 821-7252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latandra Blue, O.D.

  • Optometrist
  • Birmingham, AL
  • NPI 1942634431
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1417560418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 LAKESHORE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352115500",
            "telephone_number": "205-417-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 LAKESHORE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352115500",
            "telephone_number": "205-417-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "LATANDRA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "205-821-7252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Paul Blount, CRNA
• Virginia Bryant Blount, RPH
• Blue Bayou Inc
• Blue Bayou Services Group Inc
• Blue Ridge Healthcare Birmingham LLC
• Elizabeth Blue
• Latandra Blue, O.D.
• Blue42 Therapies, LLC
• Karen B Bluestein, MSW
• Charles Sherman Bluhm, MD

• Optometrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.