Visionary Optometry
Optometrist in Vista, CA. Organization (NPI-2).
NPI number1396924809
StatusActive
Last updated in NPPESApr 28, 2010
Details
- NPI
- 1396924809
- Entity type
- Organization (NPI-2)
- Legal business name
- Visionary Optometry
- Organization subpart
- No
- Enumeration date
- Oct 31, 2007
- Last updated
- Apr 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 10767T | CA | Yes |
Other names
- N/A (Doing Business As)
Practice location
640 Escondido AveSuite 114
Vista, CA 92084-6172
Phone 760-630-8200 · Fax 760-630-8288
Mailing address
640 Escondido AveSuite 114
Vista, CA 92084-6172
Phone 760-630-8200 · Fax 760-630-8288
Authorized official
Ken Lay
Optometrist/Owner
7606308200
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All 41 Optometrist providers in Vista · All 2,587 providers in Vista
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