Organization Active NPI

Purvision LLC

Doing business as 20/20 Eye Care

  • Optometrist
  • Dothan, AL
National Provider Identifier
1487214763
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PURVISION LLC
Doing business as
20/20 Eye Care
Practice address
2464 W Main St Ste 3
Dothan, AL 36301-6413
Phone
(334) 792-2020
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Debra Davis
Title
Office Manager
Phone
(334) 792-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2464 W Main St Ste 3
Dothan, AL 36301-6413

Mailing address

2464 W Main St Ste 3
Dothan, AL 36301-6413
Phone (334) 792-2020

Other names 1

  • 20/20 EYE CARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 2020.DOTHAN@GMAIL.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190826003771 AL Part B Supplier - Clinic/Group Practice 7315275500 Receives reassigned benefits from 1 practitioner
Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Locations

2464 W Main St
Ste 3
Dothan, AL 36301
Phone (334) 792-2020

2464 W Main St
Dothan, AL 36301
Phone (334) 792-2020

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1487214763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 W MAIN ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363016413",
            "telephone_number": "334-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 W MAIN ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363016413",
            "telephone_number": "334-792-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURVISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-792-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2020.DOTHAN@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "OFFICE EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2464 W Main St Ste 3",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363016413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "20/20 EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.