Visionary Retail Management Ca, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VISIONARY RETAIL MANAGEMENT CA, INC

Doing business as

Visionworks

Practice address

10814 Jefferson Blvd Ste F
Culver City, CA 90230-4988

Phone

(424) 453-2321

Fax

(310) 876-8277

NPI assigned

Jul 16, 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 2

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

• Phoebe Hoang, OD

  • Optometrist
  • Culver City, CA
  • NPI 1558154104
  NPD
• Catherine Lam, OD

  • Optometrist
  • Culver City, CA
  • NPI 1467123521
  NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1053159947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052299",
            "telephone_number": "726-444-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10814 JEFFERSON BLVD STE F",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304988",
            "telephone_number": "424-453-2321",
            "fax_number": "310-876-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY RETAIL MANAGEMENT CA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "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"
        },
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Vinaver, CADC 2
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• Ruben Virgen Jr
• Yasmin Vishram-Morris, MFT
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• Vivian Q Luong DDS Ms Inc
• Claudia Gail Vivirito
• Greysi Geraldine Vizcardo Solis
• Voice & Speech Therapy Center Inc.

• Eyewear Supplier in Culver City, CA
• Providers in Culver City, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.