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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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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