Infinite Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1360-494T Issued in LA

Legal business name

INFINITE VISION LLC

Practice address

4050 Lonesome Road
Suite a
Mandeville, LA 70448

Phone

(985) 789-7624

Fax

(985) 777-9090

NPI assigned

Aug 8, 2008

Organization subpart

Yes

Parent organization

INFINITE VISION LLCAs reported in NPPES

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

Authorized official

Name

Dr. Katherine Wonch, O.D.NPI 1710154430

Title

Owner

Phone

(985) 789-7624

Specialties & licenses 1

Addresses

Part of

Infinite Vision LLC

Locations

Practitioners 2

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

• Katherine Wonch, O.D.

  • Optometrist
  • Mandeville, LA
  • NPI 1710154430
  NPD (past) Authorized official
• Tu-Uyen Duc Pham, O.D.

  • Optometrist
  • Slidell, LA
  • NPI 1497946099
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1497901540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 LONESOME ROAD",
            "address_2": "SUITE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-789-7624",
            "fax_number": "985-777-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 LONESOME ROAD",
            "address_2": "SUITE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-789-7624",
            "fax_number": "985-777-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE VISION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFINITE VISION LLC",
        "enumeration_date": "2008-08-08",
        "last_updated": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "WONCH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-789-7624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1360-494T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mandeville, LA
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.