Organization Active NPI

Visionary Inc

  • Optometrist
  • Angola, IN
National Provider Identifier
1669717955
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002687B Issued in IN
Legal business name
VISIONARY INC
Practice address
204 S Wayne St
Angola, IN 46703-1937
Phone
(260) 665-5450
Fax
(260) 665-5860
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Craig W Dunlap, OD
Title
Owner / President
Phone
(260) 665-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002687B IN Primary

Addresses

Primary practice location

204 S Wayne St
Angola, IN 46703-1937

Mailing address

204 S Wayne St
Angola, IN 46703-1937
Phone (260) 665-5450

National Provider Directory

National Provider Directory

Locations

204 S Wayne St
Angola, IN 46703
Phone (219) 665-5450

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1669717955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031937",
            "telephone_number": "260-665-5450",
            "fax_number": "260-665-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031937",
            "telephone_number": "260-665-5450",
            "fax_number": "260-665-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "260-665-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002687B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.