Organization Active NPI

Visio Eyecare Inc

  • Point of Service
  • Philadelphia, PA
National Provider Identifier
1558629584
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
4101203 Issued in PA
Legal business name
VISIO EYECARE INC
Practice address
1149 S 11TH St FL 1
Philadelphia, PA 19147-4624
Phone
(215) 218-3200
Fax
(215) 218-3201
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Authorized official

Name
Ngoc AuNPI 1356627079
Title
Optometrist
Phone
(267) 471-6245

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Point of Service 305S00000X 4101203 PA Primary

Addresses

Primary practice location

1149 S 11TH St FL 1
Philadelphia, PA 19147-4624

Mailing address

1149 S 11TH St FL 1
Philadelphia, PA 19147-4624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120621000240 PA Part B Supplier - Clinic/Group Practice 3779747837 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768089600000",
    "number": "1558629584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 S 11TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 S 11TH ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474624",
            "telephone_number": "215-218-3200",
            "fax_number": "215-218-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIO EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "NGOC",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "267-471-6245"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "4101203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2026; 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.