Healthcare Provider Details

I. General information

NPI: 1023156924
Provider Name (Legal Business Name): VALLEY VISION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 BAILEY COVE RD SE SUITE C
HUNTSVILLE AL
35802-3324
US

IV. Provider business mailing address

7900 BAILEY COVE RD SE SUITE C
HUNTSVILLE AL
35802-3324
US

V. Phone/Fax

Practice location:
  • Phone: 256-882-1024
  • Fax:
Mailing address:
  • Phone: 256-882-1024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-A71-TA-632
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License NumberS-A71-TA-632
License Number StateAL

VIII. Authorized Official

Name: DR. PHILIP L. MATTSON
Title or Position: PRESIDENT
Credential: O.D.
Phone: 256-882-1024