Active NPI
Vision Optique Inc
- Eyewear Supplier
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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, 2007
- Organization subpart
- Yes
- Parent organization
- VISION OPTIQUE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
- 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.
-
- Eyewear Supplier
- Covington, LA
- NPI 1134219488
-
- Eyewear Supplier
- Mandeville, LA
- NPI 1275617425
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.