Healthcare Provider Details

I. General information

NPI: 1699571166
Provider Name (Legal Business Name): VISIONWORKS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 HARRISON BRIDGE RD STE 335-C
SIMPSONVILLE SC
29680-7134
US

IV. Provider business mailing address

19100 RIDGEWOOD PKWY BUILDING 1 7TH FLOOR
SAN ANTONIO TX
78259-1834
US

V. Phone/Fax

Practice location:
  • Phone: 864-519-2851
  • Fax: 864-894-8146
Mailing address:
  • Phone: 800-340-0129
  • 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: DOLSIE MCDONALD
Title or Position: MANAGER
Credential:
Phone: 726-444-4078