VISIONARY OPTOMETRY NPI 1396924809

NPI Information

  • NPI: 1396924809
  • Provider Name: VISIONARY OPTOMETRY
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: N/A
  • Address: 640 ESCONDIDO AVE
    SUITE 114
    VISTA, CA
    ZIP 92084
  • Phone: (760) 630-8200

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NPI Details

VISIONARY OPTOMETRY is an optometrist in Vista, CA. The provider is 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. VISIONARY OPTOMETRY NPI is 1396924809. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As N/a.

The provider's business location address is:

640 ESCONDIDO AVE
SUITE 114
VISTA, CA
ZIP 92084-172
Phone: (760) 630-8200
Fax: (760) 630-8288

The provider's authorized official is Ken Lay .
The authorized official title is Optometrist/owner and has the following contact phone number (760) 630-8200.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 4/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist10767TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WY201MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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