Healthcare Provider Details

I. General information

NPI: 1477009397
Provider Name (Legal Business Name): VISIONWORKS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 WEST COUNTY CENTER
ST. LOUIS MO
63131-3701
US

IV. Provider business mailing address

175 E. HOUSTON STREET
SAN ANTONIO TX
78205-2255
US

V. Phone/Fax

Practice location:
  • Phone: 314-909-4814
  • Fax: 314-909-4836
Mailing address:
  • Phone: 210-524-6982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DOROTHY REYNOLDS
Title or Position: OWNER
Credential:
Phone: 210-524-6515