Vista Vision LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VISTA VISION LLC

Practice address

187 Burt Blvd
Ste a
Benton, LA 71006-4905

Phone

(318) 935-5080

Fax

(318) 935-5085

NPI assigned

May 23, 2016

Last updated

May 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leny Jorgensen

Title

Owner/Optician

Phone

(318) 935-5080

Specialties & licenses 1

Addresses

Locations

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.

• Michael Wade Jorgensen, OD

  • Optometrist
  • Benton, LA
  • NPI 1558675157
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1558718205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BURT BLVD",
            "address_2": "STE A",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710064905",
            "telephone_number": "318-935-5080",
            "fax_number": "318-935-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 BURT BLVD",
            "address_2": "STE A",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710064905",
            "telephone_number": "318-935-5080",
            "fax_number": "318-935-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "LENY",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "318-935-5080"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Benton, LA
• Providers in Benton, LA by specialty
• Eyewear Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.