VICTORY VISION PC (NPI# 1386872331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386872331 |
| Entity Type | Organization |
| Organization Name | VICTORY VISION PC |
| Practice Address |
3507 Manchester Expy Unit 92 Columbus GA 31909-6400 |
| Practice Telephone | 7063270111 |
| Practice Fax Number | 7063274980 |
| Mailing Telephone | 7063270111 |
| Mailing Fax Number | 7063274980 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | DR. DAVID ROSSELLO (PRESIDENT) |
| Authorized Official Telephone | 2158333465 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | GA 002439 | GA | Managed Care Organizations |
| N | 305R00000X | Preferred Provider Organization | GA 002439 | GA | Managed Care Organizations |
| Y | 305S00000X | Point of Service | GA 002439 | GA | Managed Care Organizations |
| Street Address |
3507 MANCHESTER EXPY UNIT 92 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750392163 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3507 Manchester Expy, Columbus, GA 31909-6503 | 2006-08-10 |
| 1306369806 | Redus Optometry Clinic LLC | Optometrist | 3507 Manchester Expy, #92, Columbus, GA 31909 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598206930 | Safe Harbor Wellness LLC | Point of Service | 304 W Kanawha Ave, Columbus, OH 43214-1472 | 2017-03-18 |
| 1528422177 | Stephanie Loving Care | Point of Service | 3403 Penfield Rd, Columbus, OH 43227-3750 | 2016-04-11 |
| 1841668837 | Yvonne Anderson | Point of Service | 5156 Botsford Dr, Columbus, OH 43232-4507 | 2015-09-08 |
| 1679975882 | Advance Global Usa, LLC | Point of Service | 1491 Dobson Square North, Columbus, OH 43229 | 2014-09-18 |
| 1184025298 | Gogetemgirl Entertainment | Point of Service | 1723 Shady Lane Rd, Columbus, OH 43227-2576 | 2014-09-08 |
| 1891139176 | Gerald R. Page, O.d., Inc. | Point of Service | 1906 Bethel Rd, Columbus, OH 43220-1864 | 2013-04-17 |
| 1740826205 | Piper Medical LLC | Point of Service | 100 Frist Ct, Columbus, GA 31909-3578 | 2019-11-20 |
| 1295131746 | Central City Connections Care | Point of Service | 2600 Hingham Ln, Columbus, OH 43224-3725 | 2014-11-11 |
| 1417357625 | Acusight LLC | Point of Service | 5320 E Main St, Suite 100, Columbus, OH 43213-2573 | 2014-08-26 |
| 1700128667 | The Relief Institute of Columbus | Point of Service | 2320 Hamilton Rd, Columbus, GA 31904-8534 | 2013-03-19 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.