Visionary Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1741 Issued in AZ

Legal business name

VISIONARY EYECARE PC

Practice address

2894 E Waterman CT
Gilbert, AZ 85297-7610

Phone

(480) 532-2017

NPI assigned

Oct 7, 2011

Last updated

Sep 11, 2012By 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

Jason Bailey, ODNPI 1295737625

Title

Optometrist

Phone

(480) 532-2017

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Jason S Bailey, OD

  • Optometrist
  • Gilbert, AZ
  • NPI 1295737625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1588948616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2894 E WATERMAN CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977610",
            "telephone_number": "480-532-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 E WATERMAN CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977610",
            "telephone_number": "480-532-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "480-532-2017",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z148916",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Villegas, LMT
• Trisha Vinci, NP
• Vip IV Wellness LLC
• Lindsey Lily Virgadaula, FNP-C
• Hailey Janelle Visconti
• Visionworks Inc (Visionworks)
• Vista Dorada Dental
• Jennifer Lynn Vitagliano, LPC
• Vital Path Integrated Care LLC
• Carmen Vitale

• Optometrist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.