Organization Active NPI

Vision Alabama LLC

  • Optometrist
  • Springville, AL
National Provider Identifier
1588058317
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B54-TA-775 Issued in AL
Legal business name
VISION ALABAMA LLC
Practice address
100 Legacy Park Way
Springville, AL 35146
Phone
(256) 547-8634
NPI assigned
Mar 18, 2015
Last updated
Sep 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Tony J Catanzaro, M.D.
Title
Member
Phone
(256) 547-8634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-B54-TA-775 AL Primary

Addresses

Primary practice location

100 Legacy Park Way
Springville, AL 35146

Mailing address

PO Box 8567
Gadsden, AL 35902-8567
Phone (256) 547-8634

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151105000427 AL Part B Supplier - Clinic/Group Practice 3971815788 Receives reassigned benefits from 2 practitioners
Practice locations: Springville, AL; Jacksonville, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1588058317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8567",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359028567",
            "telephone_number": "256-547-8634",
            "fax_number": "256-547-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEGACY PARK WAY",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "35146",
            "telephone_number": "256-547-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "CATANZARO",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "256-547-8634",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B54-TA-775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.