Organization Active NPI

Visionary Healthcare LLC

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1174259444
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISIONARY HEALTHCARE LLC
Practice address
3400 Aramingo Ave Ste 7
Philadelphia, PA 19134-4531
Phone
(215) 425-4340
Fax
(215) 426-7689
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Doray Ibrahim Gurkaynak, O.D.NPI 1073640868
Title
Owner
Phone
(610) 506-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3400 Aramingo Ave Ste 7
Philadelphia, PA 19134-4531

Mailing address

11304 Valley Forge Cir
King of Prussia, PA 19406-1190
Phone (610) 506-3114

Other identifiers 1

IdentifierTypeStateIssuer
001452390MedicaidPA

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1174259444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061190",
            "telephone_number": "610-506-3114",
            "fax_number": "215-426-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ARAMINGO AVE STE 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344531",
            "telephone_number": "215-425-4340",
            "fax_number": "215-426-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "GURKAYNAK",
        "authorized_official_first_name": "DORAY",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-506-3114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001452390",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.