Organization Active NPI

V: Optical Laboratory, Inc.

  • Eyewear Supplier
  • Albany, GA
National Provider Identifier
1487821435
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
V: OPTICAL LABORATORY, INC.
Practice address
2234 Palmyra Rd
Albany, GA 31701-1322
Phone
(229) 888-3772
Fax
(229) 888-3688
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mr. Somphavanh Vinavong
Title
Owner/President
Phone
(229) 888-3772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2234 Palmyra Rd
Albany, GA 31701-1322

Mailing address

2234 Palmyra Rd
Albany, GA 31701-1322
Phone (229) 888-3772

National Provider Directory

National Provider Directory

Locations

2234 Palmyra Rd
Albany, GA 31701
Phone (229) 485-9264

Practitioners & affiliated clinicians

Practitioners 1

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1487821435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011322",
            "telephone_number": "229-888-3772",
            "fax_number": "229-888-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011322",
            "telephone_number": "229-888-3772",
            "fax_number": "229-888-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V: OPTICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "VINAVONG",
        "authorized_official_first_name": "SOMPHAVANH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "229-888-3772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.