Active NPI
Visionary Eye Care LLC
- Optometrist
- Leominster, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3744
- Legal business name
- VISIONARY EYE CARE LLC
- Practice address
- 875 Merriam Ave
Suite 135
Leominster, MA 01453-1236 - Phone
- (978) 537-0202
- Fax
- (978) 537-0303
- NPI assigned
- Oct 12, 2006
- Last updated
- Sep 29, 2011
- 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
- Dr. Sandra Yelen, O.D.
- Title
- Optometrist
- Phone
- (978) 537-0202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3744 | MA | Primary |
Addresses
Primary practice location
875 Merriam Ave
Suite 135
Leominster, MA 01453-1236
Mailing address
875 Merriam Ave
Suite 135
Leominster, MA 01453-1236
Phone (978) 537-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9750151 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
875 Merriam Ave
Ste 127
Leominster, MA 01453
Phone (978) 537-0202
875 Merriam Ave
Ste 135
Leominster, MA 01453
Phone (978) 537-0202
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.
-
- Optometrist
- Leominster, MA
- NPI 1740260975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317254400000",
"number": "1447349840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 MERRIAM AVE",
"address_2": "SUITE 135",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531236",
"telephone_number": "978-537-0202",
"fax_number": "978-537-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MERRIAM AVE",
"address_2": "SUITE 135",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531236",
"telephone_number": "978-537-0202",
"fax_number": "978-537-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONARY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2011-09-29",
"status": "A",
"authorized_official_last_name": "YELEN",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "978-537-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9750151",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.