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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

General Provider Information

NPI Number : 1548350911
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 : 4300 MEADOWS MALL
Second Line : SPACE 104
City : LAS VEGAS
State : NV
Zip : 89107
Country : US
Telephone Number : 702-822-6848
Fax Number : 702-822-2366
Authorized Official
Title or Position : DIRECTOR
Name : DOROTHY REYNOLDS
Credential :
Telephone Number : 210-524-6515
Provider Enumeration Date : 10/13/2006
Last Update Date : 09/16/2014

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Directions to “VISIONWORKS, INC. ” Practice Location

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