Active NPI
Sharper Vision Inc
- Optometrist
- Pensacola, FL
National Provider Identifier
1609906122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3066
- Legal business name
- SHARPER VISION INC
- Practice address
- 2951 S Blue Angel Pkwy
Pensacola, FL 32506-6906 - Phone
- (850) 455-8155
- Fax
- (850) 458-4946
- NPI assigned
- Mar 6, 2007
- Last updated
- Oct 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Quang V Wilson, O D
- Title
- Optometrist
- Phone
- (850) 455-8155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3066 | FL | Primary |
Addresses
Primary practice location
2951 S Blue Angel Pkwy
Pensacola, FL 32506-6906
Mailing address
800 Bayshore Dr
Pensacola, FL 32507-3404
Phone (850) 455-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTAN AI813 | Other | FL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Optometrist
- Pensacola, FL
- NPI 1447314000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1609906122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BAYSHORE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325073404",
"telephone_number": "850-455-8155",
"fax_number": "850-458-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 S BLUE ANGEL PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325066906",
"telephone_number": "850-455-8155",
"fax_number": "850-458-4946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARPER VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "QUANG",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "850-455-8155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PTAN AI813",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.