Vision Healers, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION HEALERS, LLC

Practice address

236 E Westfield Ave Ste 104
Roselle Park, NJ 07204-2084

Phone

(917) 359-8325

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julienne Walker Walker

Title

Managing Member

Phone

(917) 359-8325

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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, and the practitioner matching its NPPES authorized official.

• Julienne Antionette Walker, O.D.

  • Optometrist
  • Roselle Park, NJ
  • NPI 1679533137
  Medicare reassignment NPD

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1932667698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE STE 104",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "917-359-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE STE 104",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "917-359-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JULIENNE WALKER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-359-8325"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513466",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tims Teeth LLC (Cicchetti Family Dentistry)
• Trinitas Regional Medical Center (Trinitas Regional Medical Center Physicians Practice Acct Roselle Park)
• Carolina Valencia
• Marina Velickovic, MD
• Julie Rose Latorre Villabroza, PT, DPT
• Julienne Antionette Walker, O.D.
• West Scharf Conte Bastianelli PA
• Gerald West, DO
• Valentina Yarovaya, M.S

• Optometrist in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.