Active NPI
Victory Vision, PLLC
- Optometrist
- Johnson City, TN
National Provider Identifier
1487470928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VICTORY VISION, PLLC
- Practice address
- 620 Suncrest Dr Unit 20
Johnson City, TN 37615-3686 - Phone
- (423) 820-3139
- Fax
- (423) 370-1246
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victoria Howard, OD
- Title
- President
- Phone
- (423) 912-7743
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
620 Suncrest Dr Unit 20
Johnson City, TN 37615-3686
Mailing address
PO Box 8131
Johnson City, TN 37615-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
620 Suncrest Dr
Unit 20
Johnson City, TN 37615
Phone (423) 820-3139
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Johnson City, TN
- NPI 1912566449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753056000000",
"number": "1487470928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8131",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376150131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SUNCREST DR UNIT 20",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376153686",
"telephone_number": "423-820-3139",
"fax_number": "423-370-1246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY VISION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-912-7743",
"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": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.