Visionary Incorporated of Virginia II

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002301 Issued in VA

Legal business name

VISIONARY INCORPORATED OF VIRGINIA II

Practice address

7944L Tysons Corner Ctr
MC Lean, VA 22102-4500

Phone

(703) 288-0011

Fax

(703) 288-0044

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ann Loftus Poloncak, O.D.

Title

President

Phone

(703) 288-0011

Specialties & licenses 1

Addresses

Other names 1

• PRECISION VISION CARE Doing business as

Locations

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1508259128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7944L TYSONS CORNER CTR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024500",
            "telephone_number": "703-288-0011",
            "fax_number": "703-288-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7944L TYSONS CORNER CTR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024500",
            "telephone_number": "703-288-0011",
            "fax_number": "703-288-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY INCORPORATED OF VIRGINIA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "LOFTUS POLONCAK",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-288-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECISION VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.