Visionary Eye Care
LBN: Visionary Optometry, Pllc
Visionary Eye Care is an health care organization with primary practice located at 21818 Jamaica Ave , Queens Village NY 11428-2125. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Visionary Optometry, Pllc can be contacted via phone (347) 860-9360, or through Tao, John via phone (917) 362-6226.
Contact Information
Primary practice address
21818 Jamaica Ave
Queens Village NY 11428-2125
Phone: (347) 860-9360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X |
Profile Details
| NPI number | 1578127304 |
|---|---|
| LBN Legal business name | Visionary Optometry, Pllc |
| DBA Doing business as | Visionary Eye Care |
| Authorized official | Tao, John Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 26th, 2019 |
| Last updated | Jan 25th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578127304 | NPPES |
| New York | MEDICAID | 04938029 |
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