VISIONARY RETAIL MANAGEMENT CA INC
NPI 1104523125
Eyewear Supplier in Fontana, CA
NPI Status: Active since February 09, 2023
Contact Information
15268 SUMMIT AVE STE 300
FONTANA, CA
ZIP 92336
Phone: (909) 279-2424
Fax: (840) 788-4001
- Organization
- Eyewear Supplier
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About VISIONARY RETAIL MANAGEMENT CA INC
This page provides the complete NPI Profile along with additional information for Visionary Retail Management Ca Inc, a provider established in Fontana, California operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1104523125 assigned on February 2023. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's
- NPI
- 1104523125
- Provider Legal Name
- VISIONARY RETAIL MANAGEMENT CA INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 15268 SUMMIT AVE STE 300 FONTANA, CA 92336
- Location Phone
- (909) 279-2424
- Location Fax
- (840) 788-4001
- Mailing Address
- 19100 RIDGEWOOD PKWY SAN ANTONIO, TX 78259
- Mailing Phone
- (726) 444-4078
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2023
- Last Update Date
- 02-17-2026
- Code Navigator
Visionary Retail Management Ca Inc is a medicare supplier with PTAN 20305751 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20305751
- Accepts Medicare Assignment
- NO
- Specialities List
- Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104523125, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104523125, enumerated as an "organization" on February 09, 2023.
The provider is located at 15268 SUMMIT AVE STE 300 FONTANA, CA 92336 and the phone number is (909) 279-2424.
Eyewear Supplier with taxonomy code 332H00000X.
