Organization Active NPI

Visionary Services, Inc

  • Optometrist
  • Riverside, CA
National Provider Identifier
1417298068
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9739TG Issued in CA
Legal business name
VISIONARY SERVICES, INC
Practice address
9496 Magnolia Ave
Riverside, CA 92503-3728
Phone
(951) 687-5312
NPI assigned
Mar 6, 2013
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Stephanie Ripley, O.D.NPI 1902216864
Title
Owner
Phone
(714) 883-2379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9739TG CA Primary

Addresses

Primary practice location

9496 Magnolia Ave
Riverside, CA 92503-3728

Mailing address

18340 Yorba Linda Blvd Ste 107-168
Yorba Linda, CA 92886-4058
Phone (714) 883-2379

National Provider Directory

National Provider Directory

Locations

9496 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-5312

18340 Yorba Linda Blvd
Ste 107168
Yorba Linda, CA 92886

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1417298068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 YORBA LINDA BLVD STE 107-168",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864058",
            "telephone_number": "714-883-2379",
            "fax_number": "714-694-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9496 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033728",
            "telephone_number": "951-687-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "RIPLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-883-2379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9739TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.