Organization Active NPI

Vision Optique Inc

  • Eyewear Supplier
  • Covington, LA
National Provider Identifier
1457435612
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VISION OPTIQUE INC
Practice address
70380 Highway 21
Covington, LA 70433-8128
Phone
(985) 635-6996
NPI assigned
Oct 24, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
VISION OPTIQUEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Roderick A Gruenig
Title
President
Phone
(985) 727-9948

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary
Optometrist 152W00000X NU
Optician 156FX1800X NU

Addresses

Primary practice location

70380 Highway 21
Covington, LA 70433-8128

Mailing address

PO Box 1950
Mandeville, LA 70470-1950
Phone (985) 727-9948

Other names 1

  • Vision Optique C21 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000569 LA Part B Supplier - Clinic/Group Practice 4789670704 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, LA; Mandeville, LA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vision Optique Inc4 organizations share this tax ID, including this one
Part of
Vision Optique Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 N Highway 190
Covington, LA 70433
Phone (985) 892-1056

910 W Esplanade Ave
Kenner, LA 70065
Phone (504) 467-7095

203 Carondelet St
New Orleans, LA 70130
Phone (504) 524-1048

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1457435612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1950",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701950",
            "telephone_number": "985-727-9948",
            "fax_number": "985-237-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70380 HIGHWAY 21",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338128",
            "telephone_number": "985-635-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OPTIQUE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISION OPTIQUE",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GRUENIG",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-727-9948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Optique C21",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.