Visionary Eyecare of New Jersey

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00511200 Issued in NJ

Legal business name

VISIONARY EYECARE OF NEW JERSEY

Practice address

22122 Bradford Green SQ
Cary, NC 27519-9219

Phone

(201) 310-6947

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeanine Elizabeth Graves, OD

Title

Provider/Owner

Phone

(201) 310-6947

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622246400000",
    "number": "1346493210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22122 BRADFORD GREEN SQ",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199219",
            "telephone_number": "201-310-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22122 BRADFORD GREEN SQ",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199219",
            "telephone_number": "201-310-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYECARE OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "201-310-6947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00511200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Francois Xavier Villert, PA
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• Rachel Leigh Visconti
• Visionworks, Inc
• Vistacare Optometry, PA
• Deise Vitali
• Cynthia Vivas
• Rebecca Lee VLK, AU.D.

• Optometrist in Cary, NC
• Providers in Cary, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; 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.