Organization Active NPI

Visionview Eyecare LTD.

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1477298727
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISIONVIEW EYECARE LTD.
Practice address
460 S Vance St
Lakewood, CO 80226-3305
Phone
(786) 543-8414
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Dr. Gregory Mansur, ODNPI 1750925624
Title
Optometrist
Phone
(786) 543-8414

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

460 S Vance St
Lakewood, CO 80226-3305

Mailing address

460 S Vance St
Lakewood, CO 80226-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226000153 CO Part B Supplier - Clinic/Group Practice 1153841796 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1477298727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 S VANCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S VANCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263305",
            "telephone_number": "786-543-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONVIEW EYECARE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2024-07-26",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MANSUR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "786-543-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.

Verify at the official NPI Registry.