MEDICARE: VISIONWORKS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194817171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISIONWORKS, INC

Provider Business Mailing Address
First Line	:	PO BOX 848448
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-8448
Country	:	US
Telephone Number	:	210-524-6663
Fax Number	:	210-524-6587

Provider Business Practice Location Address
First Line	:	700 SOUTH TELSHOR
Second Line	:	SUITE 1536
City	:	LAS CRUCES
State	:	NM
Zip	:	88001
Country	:	US
Telephone Number	:	505-522-8244
Fax Number	:	505-522-4862

Authorized Official
Title or Position	:	OFFICER
Name	:	DOLSIE MCDONALD
Credential	:
Telephone Number	:	210-524-6663

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	01/07/2015

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Directions to “VISIONWORKS, INC ” Practice Location

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