Individual provider Active NPI

Victoria W. Deshazo, OD

  • Optometrist
  • Trussville, AL
National Provider Identifier
1740167378
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F50-TA-D62 Issued in AL
Practice address
3240 Edwards Lake Pkwy Ste 100
Trussville, AL 35235-3128
Phone
(833) 733-8742
Fax
(205) 634-5640
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-F50-TA-D62 AL Primary

Addresses

Primary practice location

3240 Edwards Lake Pkwy Ste 100
Trussville, AL 35235-3128

Mailing address

PO Box 59449
Birmingham, AL 35259-9449
Phone (833) 733-8742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003003675 AL Practitioner - Optometry 4789180001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TVPG LLCGroup PAC ID 0143762112, 24 clinicians
Visionfirst Eye Center, IncGroup PAC ID 2769378777, 10 clinicians

Practice addresses (Care Compare)

300 1St St N
Alabaster, AL 35007-9340
Phone (833) 733-8742

3240 Edwards Lake Pkwy
Suite 100
Birmingham, AL 35235-3128
Phone (205) 949-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-F50-TA-D62ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
TVPG LLC Optometrist CurrentSince Mar 1, 2026 Accepting new patients
Visionfirst Eye Center, Inc CurrentSince Sep 1, 2025 Accepting new patients
Colonnade Surgical Partners, LLC PastSince Jul 9, 2025 Accepting new patients

Locations

300 1st St N
Alabaster, AL 35007
Phone (205) 663-2177

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

1 W Lakeshore Dr
Ste 220
Homewood, AL 35209
Phone (205) 941-2020

2010 Patton Chapel Rd
Ste 101
Hoover, AL 35216
Phone (205) 822-0233

74 Plaza Dr
Ste 203
Pell City, AL 35125

3240 Edwards Lake Pkwy
Ste 100
Trussville, AL 35235
Phone (205) 949-2020

Interoperability endpoints

  • Direct secure messaging: vdeshazo1@visionfirst.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1740167378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59449",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352599449",
            "telephone_number": "833-733-8742",
            "fax_number": "205-634-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 EDWARDS LAKE PKWY STE 100",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "352353128",
            "telephone_number": "833-733-8742",
            "fax_number": "205-634-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAZO",
        "first_name": "VICTORIA",
        "middle_name": "W.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F50-TA-D62",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.