Visionary Eye Care, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA-1751 Issued in MD

Legal business name

VISIONARY EYE CARE, L.L.C.

Doing business as

Visionary Eye Care

Practice address

10995 Owings Mills Blvd
Suite 204
Owings Mills, MD 21117-1030

Phone

(410) 363-0060

Fax

(410) 363-0911

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brian M. Granek, O.D.NPI 1124027248

Title

President

Phone

(410) 363-0060

Specialties & licenses 2

Addresses

Other names 1

• Visionary Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

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.

• Brian Michael Granek, O.D.

  • Optometrist
  • Owings Mills, MD
  • NPI 1124027248
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1790032290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 OWINGS MILLS BLVD",
            "address_2": "SUITE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171030",
            "telephone_number": "410-363-0060",
            "fax_number": "410-363-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 OWINGS MILLS BLVD",
            "address_2": "SUITE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171030",
            "telephone_number": "410-363-0060",
            "fax_number": "410-363-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYE CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "GRANEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-363-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA-1751",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA-1751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.