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VISIONARY RETAIL MANAGEMENT CA INC
NPI 1104523125
Eyewear Supplier in Fontana, CA

Active since February 09, 2023
15268 SUMMIT AVE STE 300, FONTANA, CA 92336(909) 279-2424(840) 788-4001 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Visionary Retail Management Ca Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISIONARY RETAIL MANAGEMENT CA INC (NPI 1104523125), doing business as Visionworks, is a healthcare organization registered as an eyewear supplier in Fontana, California and active in the NPI registry since February 2023. The organization lists Dolsie Mcdonald, Manager Of Network Management, as its authorized official.

NPPES Registry Identity

NPI1104523125
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameVISIONARY RETAIL MANAGEMENT CA INC
Location Address15268 SUMMIT AVE STE 300Fontana, CA 92336-0234
Mailing Address19100 Ridgewood PkwySan Antonio, TX 78259-1834 · (726) 444-4078
Phone(909) 279-2424
Fax(840) 788-4001
Organization SubpartNo
Authorized OfficialDolsie McdonaldManager Of Network Management · (726) 444-4078
Enumeration DateFebruary 9, 2023
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1104523125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
15268 SUMMIT AVE STE 300, Fontana, CA 92336
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Other Names 1

Doing Business AsVisionworks

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Visionworks carries, from the Medicare DMEPOS supplier directory.

Visionworks

DMEPOS supplier · Fontana, CAOperated by Visionary Retail Management Ca Inc
⋮

Does not accept Medicare assignment

Visionworks has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20305751
Medicare Participant SinceJuly 18, 2023
Supplier Location15268 Summit Ave Ste 300Fontana, CA 92336
Phone(909) 279-2424
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMY THAI OD
Optometrist
15268 SUMMIT AVE STE 300
FONTANA, CA 92336
San Bernardino County (909) 279-2472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Visionary Retail Management Ca Inc's NPI number?

The NPI number for Visionary Retail Management Ca Inc is 1104523125. It was assigned to this organization in the NPPES registry on February 9, 2023. The provider is doing business as Visionworks.

Where is Visionary Retail Management Ca Inc located?

Visionary Retail Management Ca Inc is located at 15268 Summit Ave Ste 300, Fontana, CA 92336. The listed phone number is (909) 279-2424.

What is Visionary Retail Management Ca Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Visionary Retail Management Ca Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Visionworks does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Visionary Retail Management Ca Inc was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.