NPIMap

Organization Active NPI

Visionworks, Inc

Doing business as Visionworks

  • Eyewear Supplier
  • Gurnee, IL
National Provider Identifier
1053514729
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
VISIONWORKS, INC
Doing business as
Visionworks
Practice address
6170 Grand Ave
Ste 375
Gurnee, IL 60031-4592
Phone
(847) 855-0134
NPI assigned
Jun 8, 2007
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Doug Newcom
Title
VP Business Development
Phone
(210) 524-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

6170 Grand Ave
Ste 375
Gurnee, IL 60031-4592

Mailing address

PO Box 848448
Dallas, TX 75284-8448
Phone (210) 524-6663

Other names 1

  • Visionworks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930032009 IL DME Supplier - OpticianDME Supplier - Physician - Optometrist 4385639616 Practice locations: Gurnee, IL

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Visionworks6170 W Grand Ave, Gurnee, IL 60031-4543(847) 855-0134 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Vision World64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1053514729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848448",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848448",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 GRAND AVE",
            "address_2": "STE 375",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314592",
            "telephone_number": "847-855-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONWORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "NEWCOM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "210-524-6700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.