# TVPG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tria Vision Physician Group, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639929144
- **Authorized official:** DR. JASON SWANNER MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (205) 876-8988

## Contact information

- **Practice address:** 2010 PATTON CHAPEL RD, HOOVER, AL 35216-5782
- **Practice address phone:** (833) 733-8747
- **Practice address fax:** (205) 634-5640
- **Mailing address:** PO BOX 59449, BIRMINGHAM, AL 35259-9449
- **Mailing address fax:** (205) 644-8485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2024
- **Last updated:** 06/14/2024