Active NPI
Visionary Eye Care
- Optometrist
- Dickinson, ND
National Provider Identifier
1124200688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISIONARY EYE CARE
- Practice address
- 341 1St St E
Dickinson, ND 58601-5216 - Phone
- (701) 483-9141
- Fax
- (701) 483-9501
- NPI assigned
- Nov 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Candace K Hoff, OD
- Title
- President
- Phone
- (701) 483-9141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ND | Primary |
Addresses
Primary practice location
341 1St St E
Dickinson, ND 58601-5216
Mailing address
341 1St St E
Dickinson, ND 58601-5216
Phone (701) 483-9141
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060580 | Medicaid | ND | |
| 01284002 | Other | ND | BCBS |
| DA9711 | Other | ND | RAILROAD MEDICARE |
| 4694550001 | Other | ND | NORIDIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
341 1st St E
Dickinson, ND 58601
Phone (701) 483-9141
3177 15th St W
Dickinson, ND 58601
Phone (701) 483-9141
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Dickinson, ND
- NPI 1801326673
-
- Optometrist
- Dickinson, ND
- NPI 1518121615
-
- Optometrist
- Dickinson, ND
- NPI 1730927740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453334400000",
"number": "1124200688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 1ST ST E",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586015216",
"telephone_number": "701-483-9141",
"fax_number": "701-483-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 1ST ST E",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586015216",
"telephone_number": "701-483-9141",
"fax_number": "701-483-9501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONARY EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2016-01-21",
"status": "A",
"authorized_official_last_name": "HOFF",
"authorized_official_first_name": "CANDACE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-483-9141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060580",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01284002",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA9711",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORIDIAN",
"identifier": "4694550001",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.