Organization Active NPI

Visionary Eye Care, PA

  • Optometrist
  • Jonesboro, AR
National Provider Identifier
1184820243
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
PC-138 Issued in AR
Legal business name
VISIONARY EYE CARE, PA
Practice address
2980 Browns LN
Jonesboro, AR 72401-7237
Phone
(870) 972-5540
Fax
(870) 972-5684
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Dr. Courtney Hoffman, O.D.NPI 1518961929
Title
President
Phone
(870) 972-5540

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X PC-138 AR Primary

Addresses

Primary practice location

2980 Browns LN
Jonesboro, AR 72401-7237

Mailing address

2980 Browns LN
Jonesboro, AR 72401-7237
Phone (870) 972-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071009000523 AR Part B Supplier - Clinic/Group Practice 2163517939 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesboro, AR
O20100930037477 AR DME Supplier - Physician - Optometrist 2163517939 Practice locations: Jonesboro, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Visionary Eye Care, PA2980 Browns Lane, Jonesboro, AR 72401-7237(870) 972-5540 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 1, 2007

National Provider Directory

National Provider Directory

Locations

2980 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-5540

800 Professional Acres Dr
Jonesboro, AR 72401
Phone (870) 333-1087

Practitioners & affiliated clinicians

Practitioners 3

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1184820243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017237",
            "telephone_number": "870-972-5540",
            "fax_number": "870-972-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017237",
            "telephone_number": "870-972-5540",
            "fax_number": "870-972-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-972-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "PC-138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.