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VISIONARY EYE INSTITUTE INC NPI 1740822394


NPI Information

NPI: 1740822394
Provider Name: VISIONARY EYE INSTITUTE INC
Classification: Ophthalmology - 207WX0009X
Entity Type: Organization

Specialization: Glaucoma Specialist

CLIA Number: 05D2184302

Address:
361 HOSPITAL RD STE 324
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 528-3608
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VISIONARY EYE INSTITUTE INC is a glaucoma specialist ophthalmology in Newport Beach, CA. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. VISIONARY EYE INSTITUTE INC NPI is 1740822394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

361 HOSPITAL RD STE 324
NEWPORT BEACH, CA
ZIP 92663-524
Phone: (949) 528-3608
Fax: (949) 528-3910

The provider's authorized official is Ashley Lopez .
The authorized official title is Office Administrator and has the following contact phone number (909) 320-0809.

The CLIA number assigned to this NPI record is 05D2184302 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2019 and was last updated on 10/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyNo
2207WX0009XOphthalmologyGlaucoma SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114025780MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.