Visionary Retail Management Ca, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VISIONARY RETAIL MANAGEMENT CA, INC

Practice address

2711 Canyon Springs Pkwy Ste 103
Riverside, CA 92507-0942

Phone

(951) 583-1820

Fax

(951) 618-7116

NPI assigned

Nov 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dolsie McDonald

Title

Manager

Phone

(726) 444-4078

Specialties & licenses 1

Addresses

Other names 1

• Visionworks Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristalle Kwok, OD

  • Optometrist
  • Riverside, CA
  • NPI 1801618103
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1013732486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 RIDGEWOOD PKWY BLDG. 1 7TH FLOOR",
            "address_2": "7TH FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78259",
            "telephone_number": "800-340-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 CANYON SPRINGS PKWY STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070942",
            "telephone_number": "951-583-1820",
            "fax_number": "951-618-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY RETAIL MANAGEMENT CA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DOLSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "726-444-4078"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Visionary Retail Management Ca Inc
• Visionary Services, Inc
• Visiting Nurse Association of the Inland Counties
• Visiting Nurse Association of the Inland Counties
• Vista Behavioral Hospital LLC
• Vista Pacifica Enterprises

• Eyewear Supplier in Riverside, CA
• Providers in Riverside, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.