Visionary Retail Management Ca Inc
NPI 1104523125 · Eyewear Supplier · Fontana, CA
Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Visionary Retail Management Ca Inc is a Eyewear Supplier organization in Fontana, CA (NPI 1104523125).
Provider details
- NPI number
- 1104523125
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dolsie Mcdonald, Manager of Network Management(726) 444-4078
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Visionworks
- Doing business as
- Visionworks
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Frequently asked questions
- What is Visionary Retail Management Ca Inc's NPI number?
- Visionary Retail Management Ca Inc's National Provider Identifier (NPI) is 1104523125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Visionary Retail Management Ca Inc?
- Visionary Retail Management Ca Inc is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Visionary Retail Management Ca Inc located?
- Visionary Retail Management Ca Inc's practice location on file with NPPES is 15268 Summit Ave Ste 300, Fontana, CA 92336-0234.
- What is Visionary Retail Management Ca Inc's phone number?
- The practice phone number listed in the NPPES registry for Visionary Retail Management Ca Inc is (909) 279-2424.
- Does Visionary Retail Management Ca Inc accept Medicare?
- Visionary Retail Management Ca Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Visionary Retail Management Ca Inc?
- The authorized official listed on Visionary Retail Management Ca Inc's NPPES record is Dolsie Mcdonald, Manager of Network Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Visionary Retail Management Ca Inc's NPI active?
- Yes — Visionary Retail Management Ca Inc's NPI (1104523125) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.