NPIMap

Organization Active NPI

Vision Correction Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1689735250
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
01C0001041 Issued in AL
Legal business name
VISION CORRECTION CENTER, LLC
Practice address
1406 McFarland Blvd N
Suite 2B
Tuscaloosa, AL 35406-2293
Phone
(205) 248-0095
Fax
(205) 345-9016
NPI assigned
Dec 13, 2006
Last updated
Jun 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Daniel Hogue
Title
Administrator
Phone
(205) 248-0095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 01C0001041 AL Primary

Addresses

Primary practice location

1406 McFarland Blvd N
Suite 2B
Tuscaloosa, AL 35406-2293

Mailing address

1406 McFarland Blvd N
Suite 2B
Tuscaloosa, AL 35406-2293
Phone (205) 248-0095

Other identifiers 1

IdentifierTypeStateIssuer
051554568MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000839 AL Part B Supplier - Ambulatory Surgical Center 9537051024 Practice locations: Tuscaloosa, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Vision Correction CenterCCN 01C0001041
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Vision Correction Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1689735250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MCFARLAND BLVD N",
            "address_2": "SUITE 2B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062293",
            "telephone_number": "205-248-0095",
            "fax_number": "205-345-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MCFARLAND BLVD N",
            "address_2": "SUITE 2B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062293",
            "telephone_number": "205-248-0095",
            "fax_number": "205-345-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CORRECTION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-248-0095"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "01C0001041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554568",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.