Healthcare Provider Details

I. General information

NPI: 1831993187
Provider Name (Legal Business Name): VISIONWORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 S FM 1626 # 100A
KYLE TX
78640-1100
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 737-302-2750
  • Fax: 737-248-8075
Mailing address:
  • Phone: 800-340-0129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
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