Active NPI
Visionary Enterprises Inc
- Prosthetic/Orthotic Supplier
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- VISIONARY ENTERPRISES INC
- Practice address
- 1440 E County Line Rd Ste 1600
Figleaf Boutique CRCC-S
Indianapolis, IN 46227-0963 - Phone
- (317) 887-7104
- Fax
- (317) 887-3784
- NPI assigned
- May 2, 2014
- 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
- Mr. Mike Hogan
- Title
- SVP
- Phone
- (317) 621-7409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1440 E County Line Rd Ste 1600
Figleaf Boutique CRCC-S
Indianapolis, IN 46227-0963
Mailing address
6626 E 75TH St Ste 200
Attn L Pendleton
Indianapolis, IN 46250-2855
Phone (317) 621-7543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141014002346 | IN | DME Supplier - Medical Supply Company | 0446154215 | Practice locations: Indianapolis, IN |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Visionary Enterprises Inc | Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Visionary Enterprises Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Indianapolis, IN
- NPI 1598073033
-
- Prosthetic/Orthotic Supplier
- Indianapolis, IN
- NPI 1659819761
-
- Prosthetic/Orthotic Supplier
- Indianapolis, IN
- NPI 1720284748
-
- Prosthetic/Orthotic Supplier
- Indianapolis, IN
- NPI 1881902328
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Family Medicine Physician
- Greenwood, IN
- NPI 1396798625
Member Of
Locations
1440 E County Line Rd
#1600
Indianapolis, IN 46227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548374400000",
"number": "1295145068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 200",
"address_2": "ATTN L PENDLETON",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502855",
"telephone_number": "317-621-7543",
"fax_number": "317-621-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 E COUNTY LINE RD STE 1600",
"address_2": "FIGLEAF BOUTIQUE CRCC-S",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462270963",
"telephone_number": "317-887-7104",
"fax_number": "317-887-3784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONARY ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-02",
"last_updated": "2019-01-25",
"status": "A",
"authorized_official_last_name": "HOGAN",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "317-621-7409",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.