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	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1821443250
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	:	800-340-0129
Fax Number	:

Provider Business Practice Location Address
First Line	:	1703 VILLAGE WEST PARKWAY
Second Line	:	SUITE 104
City	:	KANSAS CITY
State	:	KS
Zip	:	66111-0000
Country	:	US
Telephone Number	:	913-299-8513
Fax Number	:	913-299-8556

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DOROTHY REYNOLDS
Credential	:
Telephone Number	:	210-524-6515

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	05/20/2016

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Directions to “VISIONWORKS INC. ” Practice Location

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