BLUE VISION CENTER LLC (NPI# 1417560418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417560418 |
| Entity Type | Organization |
| Organization Name | BLUE VISION CENTER LLC |
| Practice Address |
2818 Lakeshore Pkwy Birmingham AL 35211-5500 |
| Practice Telephone | 2054172583 |
| Mailing Telephone | 2054172583 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | DR. LATANDRA BLUE (CEO/OWNER) |
| Authorized Official Telephone | 2058217252 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
2818 LAKESHORE PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1841842275 | Derek Haden | Optometrist | 4233 3rd Ave S Apt 104, Birmingham, AL 35222-2022 | 2019-07-16 |
| 1659933448 | National Vision Inc | Optometrist | 1616 Gadsden Hwy Ste 100, Birmingham, AL 35235-3147 | 2019-07-02 |
| 1487140828 | Lauren Moriah Boudousquie | Optometrist | 700 19th St S # 124, Birmingham, AL 35233-1927 | 2018-07-09 |
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1164914461 | Amy H Vinogradov | Optometrist | 1716 University Blvd # G090a, Birmingham, AL 35233-1816 | 2018-06-01 |
| 1871084723 | John James Bushaw Iv | Optometrist | 800 S Adams Rd Ste 201, Birmingham, MI 48009-7008 | 2018-05-27 |
| 1992215719 | Christopher Hahn Lee | Optometrist | 700 19th St S # Sbrc124, Birmingham, AL 35233-1927 | 2017-10-06 |
| 1215447073 | Myeyedr Optometry of Alabama LLC | Optometrist | 5510 Highway 280 Ste 213, Birmingham, AL 35242-6583 | 2017-10-06 |
| 1942710728 | Myeyedr Optometry of Alabama LLC | Optometrist | 2019 Highland Ave S, Birmingham, AL 35205-3801 | 2017-10-05 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on BLUE VISION CENTER LLC.
| 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.