Organization Active NPI

Visionary Retail Management Ca Inc

Doing business as Visionworks

  • Eyewear Supplier
  • Fontana, CA
National Provider Identifier
1104523125
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VISIONARY RETAIL MANAGEMENT CA INC
Doing business as
Visionworks
Practice address
15268 Summit Ave Ste 300
Fontana, CA 92336-0234
Phone
(909) 279-2424
Fax
(840) 788-4001
NPI assigned
Feb 9, 2023
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Dolsie McDonald
Title
Manager of Network Management
Phone
(726) 444-4078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

15268 Summit Ave Ste 300
Fontana, CA 92336-0234

Mailing address

19100 Ridgewood Pkwy
San Antonio, TX 78259-1834
Phone (726) 444-4078

Other names 1

  • Visionworks Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1104523125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 RIDGEWOOD PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591834",
            "telephone_number": "726-444-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15268 SUMMIT AVE STE 300",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360234",
            "telephone_number": "909-279-2424",
            "fax_number": "840-788-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY RETAIL MANAGEMENT CA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DOLSIE",
        "authorized_official_title_or_position": "MANAGER OF NETWORK MANAGEMENT",
        "authorized_official_telephone_number": "726-444-4078"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "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"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.