Organization Active NPI

Visionary Optometry Inc.

  • Optometrist
  • Hermosa Beach, CA
National Provider Identifier
1902815194
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR 844 Issued in CA
Legal business name
VISIONARY OPTOMETRY INC.
Practice address
1200 Artesia Blvd
Suite #1
Hermosa Beach, CA 90254-2755
Phone
(310) 372-5213
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Warren Barr, O.D.
Title
President
Phone
(310) 372-5213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X COR 844 CA Primary

Addresses

Primary practice location

1200 Artesia Blvd
Suite #1
Hermosa Beach, CA 90254-2755

Mailing address

1200 Artesia Blvd
Suite #1
Hermosa Beach, CA 90254-2755
Phone (310) 372-5213

National Provider Directory

National Provider Directory

Locations

1200 Artesia Blvd
Ste 1
Hermosa Beach, CA 90254
Phone (310) 372-5213

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1902815194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ARTESIA BLVD",
            "address_2": "SUITE #1",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542755",
            "telephone_number": "310-372-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ARTESIA BLVD",
            "address_2": "SUITE #1",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542755",
            "telephone_number": "310-372-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-372-5213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.