Active NPI
Victoria W. Deshazo, OD
- Optometrist
- Trussville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-F50-TA-D62
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-F50-TA-D62 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TVPG LLC | Optometrist | Current | Accepting new patients |
| Visionfirst Eye Center, Inc | Current | Accepting new patients | |
| Colonnade Surgical Partners, LLC | Past | 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
- 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.
-
- Ophthalmology Physician
- Birmingham, AL
- NPI 1629118286
-
- Ambulatory Surgical Clinic/Center
- Birmingham, AL
- NPI 1922997477
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.