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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1457673238
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	:	210-340-3531
Fax Number	:	210-524-6587

Provider Business Practice Location Address
First Line	:	4020 WILLIAM PENN HWY # 2
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2503
Country	:	US
Telephone Number	:	412-372-3018
Fax Number	:	412-373-5980

Authorized Official
Title or Position	:	DIRECTOR OF MANAGED VISION CARE
Name	:	DOROTHY REYNOLDS
Credential	:
Telephone Number	:	210-524-6515

Provider Enumeration Date	:	02/22/2010
Last Update Date	:	05/20/2026

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