Individual provider Active NPI

Joanna Vrotsos, OD

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1740815505
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-324-TA-C66 Issued in AL
Practice address
262 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone
(334) 260-8511
Fax
(334) 260-8755
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34505TLG CA
Optometrist 152W00000X 3529 CO
Optometrist 152W00000X R-324-TA-C66 AL Primary

Addresses

Primary practice location

262 Mitylene Park Dr
Montgomery, AL 36117-3548

Mailing address

2800 Ross Clark Cir
Dothan, AL 36301-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230717000720 CA Practitioner - Optometry 0941618870 Reassigns benefits to 2 organizations
I20250822003864 AL Practitioner - Optometry 0941618870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary L Englund OD ApcGroup PAC ID 8628012697, 7 clinicians
Eye Partners PCGroup PAC ID 8123016334, 31 clinicians
Wells and Hile OD an Optometric CorporationGroup PAC ID 9537404983, 4 clinicians

Practice addresses (Care Compare)

2231 Bayview Heights Dr
Los Osos, CA 93402-3900
Phone (805) 528-5333

262 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone (334) 260-8511

8105 Morro Rd
Suite a
Atascadero, CA 93422-3911
Phone (805) 466-6939

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34505CAMDDentist
34505TLGCAMDOptometrist
3529COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Partners PC Optometrist CurrentSince Sep 23, 2025 Accepting new patients
Eye Partners PC CurrentSince Sep 23, 2025 Accepting new patients
Lens Masters of Atascadero Inc Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Gary L. Englund, OD, Apc Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Gary L. Englund, OD, Apc Optometrist CurrentSince Sep 1, 2023 Accepting new patients

Locations

2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

262 Mitylene Park Dr
Montgomery, AL 36117
Phone (334) 260-8511

8105 Morro Rd
Ste A
Atascadero, CA 93422
Phone (805) 466-6939

2231 Bayview Heights Dr
Los Osos, CA 93402
Phone (805) 528-5333

1112 Vine St
Paso Robles, CA 93446
Phone (805) 238-1001

1112 Vine St
Ste B
Paso Robles, CA 93446
Phone (805) 238-1001

Interoperability endpoints

  • Direct secure messaging: joanna.vrotsos.p1@direct.ecs.nextgenshare.com

Organizations & group practices 6

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": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1740815505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MITYLENE PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173548",
            "telephone_number": "334-260-8511",
            "fax_number": "334-260-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROTSOS",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34505TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3529",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-324-TA-C66",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.