MRS. LISA JO HOUSTON VINAVONG (NPI# 1518328616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518328616 |
| Entity Type | Individual |
| Full Name | MRS. LISA JO HOUSTON VINAVONG |
| Other Name | MRS. LISA JO HOUSTON |
| Credential | LDO |
| Practice Address |
2234 Palmyra Rd Albany GA 31701-1322 |
| Practice Telephone | 2294859264 |
| Practice Fax Number | 2298883688 |
| Mailing Telephone | 2294859264 |
| Mailing Fax Number | 2298883688 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
LDO002657 | GA | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO002657 | GA | Eye and Vision Services Providers |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | LDO002657 | GA | Suppliers |
| Street Address |
2234 PALMYRA RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487821435 | V: Optical Laboratory, Inc. | Eyewear Supplier (Equipment, not the service) | 2234 Palmyra Rd, Albany, GA 31701-1322 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891249710 | National Vision, Inc. | Technician/Technologist | 1801 14th Ave Se, Albany, OR 97322-8502 | 2016-08-09 |
| 1174785349 | Heather C Christman | Technician/Technologist | 120 Washington Avenue Ext, Albany, NY 12203-5367 | 2008-06-30 |
| 1790823847 | Matthew James Sheehy | Technician/Technologist | 291 New Scotland Ave, Albany, NY 12208-3123 | 2007-02-01 |
| 1306946595 | C J Sabatini Opticians Inc | Technician/Technologist | 2005 Western Ave, Albany, NY 12203-7016 | 2006-09-25 |
| 1285733121 | Sam's Club Optical | Technician/Technologist | 1201 N Westover Blvd, Albany, GA 31707-6600 | 2006-09-21 |
| 1275048191 | Anna Maria Nestor | Technician/Technologist | 116 Wolf Rd, Albany, NY 12205-1164 | 2017-12-14 |
| 1396250213 | Carolyn M Stott | Technician/Technologist | 116 Wolf Rd, Albany, NY 12205-1164 | 2017-12-14 |
| 1821467358 | Wal-mart Stores, Inc | Technician/Technologist | 1330 Goldfish Farm Rd Se, Albany, OR 97322-5154 | 2015-09-15 |
| 1144556929 | Frank Cirillo Jr. | Technician/Technologist | 24 Rosemont St, Albany, NY 12203-2405 | 2009-10-28 |
| 1548383300 | Tone Optical Inc Dba Taras Optical | Technician/Technologist | 971 Central Ave, Albany, NY 12205-3503 | 2007-04-09 |
| Find all providers in ALBANY | ||||
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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.