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NPI Code Detail

MEDICARE: VISIONWORKS, INC

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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1770907750
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 : 210-524-6771
Fax Number :
Provider Business Practice Location Address
First Line : 4120 BUCKEYE PKWY
Second Line : UNIT 167
City : GROVE CITY
State : OH
Zip : 43123-8175
Country : US
Telephone Number : 614-875-0012
Fax Number :
Authorized Official
Title or Position : DIRECTOR MVC
Name : DOROTHY REYNOLDS
Credential :
Telephone Number : 210-524-6515
Provider Enumeration Date : 02/11/2014
Last Update Date : 01/21/2015

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Directions to “VISIONWORKS, INC ” Practice Location

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