Visionary Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

10767T Issued in CA

Legal business name

VISIONARY OPTOMETRY

Doing business as

n/a

Practice address

640 Escondido Ave
Suite 114
Vista, CA 92084-6172

Phone

(760) 630-8200

Fax

(760) 630-8288

NPI assigned

Oct 31, 2007

Last updated

Apr 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ken Lay, ODNPI 1255329215

Title

Optometrist/Owner

Phone

(760) 630-8200

Specialties & licenses 1

Addresses

Other names 1

• n/a Doing business as

Locations

Practitioners 1

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.

• Ken Lay, OD

  • Optometrist
  • Vista, CA
  • NPI 1255329215
  Authorized official Same address or phone

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1396924809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ESCONDIDO AVE",
            "address_2": "SUITE 114",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846172",
            "telephone_number": "760-630-8200",
            "fax_number": "760-630-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ESCONDIDO AVE",
            "address_2": "SUITE 114",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846172",
            "telephone_number": "760-630-8200",
            "fax_number": "760-630-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "760-630-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10767T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincetta Cox
• Rayna Vinson, PA-C
• Tania Virgen, RBT
• Anthony Visco
• Vision Quest Industries, Inc. (VQ Orthocare)
• Visionquest Industries, Inc. (VQ Orthocare)
• Visionquest Industries, Inc. (VQ Orthocare)
• Vista Community Clinic
• Vista Community Clinic
• Vista Community Clinic

• Optometrist in Vista, CA
• Providers in Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.