Vibrant Vision Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

341 Issued in AL

Legal business name

VIBRANT VISION CARE

Practice address

537 Johansen Expy
Fairbanks, AK 99701-3165

Phone

(907) 451-9938

Fax

(888) 724-3239

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Virginia E Smith

Title

Credentialing Coordinator

Phone

(888) 737-9615

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1952722068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 JOHANSEN EXPY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013165",
            "telephone_number": "907-451-9938",
            "fax_number": "888-724-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 JOHANSEN EXPY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013165",
            "telephone_number": "907-451-9938",
            "fax_number": "888-724-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "888-737-9615"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Vertz
• Heather Vest, LMT
• Jennifer Lynn Vey
• Andrea Michelle Vezina
• Via Vita Health Project, Inc.
• Leif Vick, LPC
• Jonathan T Victorino, D.C.
• Shawna Anne Victorino, DC
• Lorena G Village-Center-Simon
• Carolyn Mary Villagecenter

• Optometrist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.