MEDICARE: VISION ADVANCEMENT CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	152WP0200X	Pediatric Optometrist
2	152WS0006X	Sports Vision Optometrist
3	152WV0400X	Vision Therapy Optometrist
4	152WX0102X	Occupational Vision Optometrist
5	152W00000X	Optometrist

General Provider Information

NPI Number	:	1972111094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION ADVANCEMENT CENTER, PLLC

Provider Business Mailing Address
First Line	:	201 NUSHO PL
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12950 DALLAS PKWY STE 900
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-4237
Country	:	US
Telephone Number	:	951-500-8076
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST / OWNER
Name	:	DR. LINDSAY FAYE BERRY
Credential	:	OD
Telephone Number	:	951-500-8076

Provider Enumeration Date	:	07/14/2020
Last Update Date	:	08/03/2020

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