Visionary Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3800 Issued in FL

Legal business name

VISIONARY OPTOMETRY INC

Practice address

1941 Michigan Ave
Cocoa, FL 32922-5728

Phone

(321) 638-3931

NPI assigned

Dec 7, 2007

Last updated

Mar 1, 2013By 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

Micah R Girard, ODNPI 1285749911

Title

Optometrist/President

Phone

(321) 638-3931

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Micah Ramon Girard, O.D.

  • Optometrist
  • Cocoa, FL
  • NPI 1285749911
  Authorized official Same address or phone

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1508049925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 MICHIGAN AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225728",
            "telephone_number": "321-638-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 MICHIGAN AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225728",
            "telephone_number": "321-638-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "321-638-3931",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620988200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Vermillera, PHD
• Vibewell Therapy
• Brooke Vidal
• Donald J Vigeant
• Virtumed LLC
• Volunteers of America of Florida, Inc
• Tracy Vukovich
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0174)
• Wal-Mart Stores East, LP (Vision Center 30-0174)
• Walgreen Co (Walgreens #04303)

• Optometrist in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.