Visionary Eye Institute Inc

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

Legal business name

VISIONARY EYE INSTITUTE INC

Practice address

361 Hospital Rd Ste 324
Newport Beach, CA 92663-3524

Phone

(949) 528-3608

Fax

(949) 528-3910

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Miss Ashley Lopez

Title

Office Administrator

Phone

(909) 320-0809

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ehsan Sadri, M.D.

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1114025780
  Medicare reassignment NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1740822394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 324",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633524",
            "telephone_number": "949-528-3608",
            "fax_number": "949-528-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 324",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633524",
            "telephone_number": "949-528-3608",
            "fax_number": "949-528-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "909-320-0809",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114025780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Dang Vinopal, LCSW
• Jacynta Michelle Vinson
• Travis Connor Vinton
• Mailee Viramontes, LMFT
• Victoria Selena Virrueta
• Hanna Visser
• Vitality Health & Wellness, Inc
• Gina Vitzthum, N.P.
• Oscar Viveros-Alejandre
• Lesly Guadalupe Vizcarra Parra

• Glaucoma Specialist (Ophthalmology) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Glaucoma Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.