Organization Active NPI

Visionary Ophthalmology and Cataract Care, PLLC

Doing business as The Visionary

  • Eyewear Supplier
  • Williamsville, NY
National Provider Identifier
1205989647
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VISIONARY OPHTHALMOLOGY AND CATARACT CARE, PLLC
Doing business as
The Visionary
Practice address
40 N Union Rd
Williamsville, NY 14221-5339
Phone
(716) 631-3950
NPI assigned
Jan 19, 2007
Last updated
Mar 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VISIONARY OPHTHALMOLOGY AND CATARACT CARE , PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Philip R NiswanderNPI 1306844550
Title
MD
Phone
(716) 634-4441

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
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

40 N Union Rd
Williamsville, NY 14221-5339

Mailing address

40 N Union Rd
Williamsville, NY 14221-5339

Other names 1

  • THE VISIONARY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230726002389 NY DME Supplier - Physician - Optometrist 2860880226 Practice locations: Williamsville, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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 Ophthalmology & Cataract40 N Union Rd, Williamsville, NY 14221-5339(716) 634-4441 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 21, 2021

National Provider Directory

National Provider Directory
Part of
Visionary Ophthalmology and

Locations

40 N Union Rd
Williamsville, NY 14221
Phone (716) 631-3950

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1205989647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215339",
            "telephone_number": "716-631-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY OPHTHALMOLOGY AND CATARACT CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISIONARY OPHTHALMOLOGY AND CATARACT CARE , PLLC",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-03-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "NISWANDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "716-634-4441"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE VISIONARY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE VISIONARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.