NPIMap

Organization Active NPI

Visionary Enterprises Inc

Doing business as Figleaf Boutique

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
National Provider Identifier
1659819761
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
VISIONARY ENTERPRISES INC
Doing business as
Figleaf Boutique
Practice address
7979 N Shadeland Ave
Suite 110
Indianapolis, IN 46250-2042
Phone
(317) 621-9366
Fax
(317) 957-2750
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Mr. Mike Hogan
Title
SVP
Phone
(317) 621-7409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

7979 N Shadeland Ave
Suite 110
Indianapolis, IN 46250-2042

Mailing address

6626 E 75TH St
Suite 200
Indianapolis, IN 46250-2805
Phone (317) 621-7543

Other names 1

  • Figleaf Boutique Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170831002625 IN DME Supplier - Medical Supply Company 0446154215 Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Visionary Enterprises Inc7979 N Shadeland Ave, Indianapolis, IN 46250-2042(317) 621-0485 Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Mar 8, 1992

National Provider Directory

National Provider Directory
Tax ID family
Visionary Enterprises Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2040 N Shadeland Ave
Ste 110
Indianapolis, IN 46219
Phone (317) 355-9260

1402 E County Line Rd
Ste 150
Indianapolis, IN 46227
Phone (317) 887-7111

6626 E 75th St
Ste 200
Indianapolis, IN 46250

1440 E County Line Rd
Ste 1600
Indianapolis, IN 46227
Phone (317) 887-7104

9669 E 146th St
Ste 150
Noblesville, IN 46060
Phone (317) 621-1750

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1659819761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805",
            "telephone_number": "317-621-7543",
            "fax_number": "317-621-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 N SHADELAND AVE",
            "address_2": "SUITE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502042",
            "telephone_number": "317-621-9366",
            "fax_number": "317-957-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "317-621-7409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Figleaf Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Figleaf Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.