Visionary Retail Management Ca, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VISIONARY RETAIL MANAGEMENT CA, INC

Doing business as

Visionworks

Practice address

10990 Foothill Blvd Ste 120
Rancho Cucamonga, CA 91730-7634

Phone

(909) 752-0681

Fax

(909) 479-6031

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Dolsie McDonald

Title

Manager

Phone

(726) 444-4078

Specialties & licenses 1

Addresses

Other names 1

• Visionworks Doing business as

Practitioners 1

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

• Angie Nguyen, OD

  • Optometrist
  • Rancho Cucamonga, CA
  • NPI 1134949340
  NPD (past)

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1265248322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 RIDGEWOOD PKWY BUILDING 1",
            "address_2": "7TH FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591834",
            "telephone_number": "800-340-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 FOOTHILL BLVD STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307634",
            "telephone_number": "909-752-0681",
            "fax_number": "909-479-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY RETAIL MANAGEMENT CA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DOLSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "726-444-4078"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Vinci
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• Visiting Home Nurses, Inc.
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• Vitalbreath Care Facility LLC
• Ana Victoria Vivas Rosas, OTR/L

• Eyewear Supplier in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.