MEDICARE: VISION VALUE, LLC

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	332H00000X	Eyewear Supplier
2	152W00000X	Optometrist		FL

General Provider Information

NPI Number	:	1467844308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION VALUE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 24686
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-4686
Country	:	US
Telephone Number	:	561-275-2020
Fax Number	:	561-275-2030

Provider Business Practice Location Address
First Line	:	1615 S CONGRESS AVE STE 105
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6326
Country	:	US
Telephone Number	:	561-275-2020
Fax Number	:	561-275-2030

Authorized Official
Title or Position	:	SENIOR REVENUE CYCLE MANAGER
Name	:	ALISHA JACKSON
Credential	:
Telephone Number	:	561-208-1591

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	06/23/2026

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Directions to “VISION VALUE, LLC ” Practice Location

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