Visionworks, Inc
Organization Active NPI Eyewear Supplier · Gurnee, IL
NPI 1053514729 · NPPES record last updated Mar 12, 2019
Key facts
- NPI
- 1053514729
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- VISIONWORKS, INC
- Practice address
- 6170 Grand Ave
Ste 375
Gurnee, IL 60031-4592 - Phone
- (847) 855-0134
- NPI assigned
- Jun 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Doug Newcom
- Title
- VP Business Development
- Phone
- (210) 524-6700
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 3
Practitioners 10
-
Jodi Ann Bergstrom, O.D.
-
Scott P Chepulis, OD
-
Damon Eggers, OD
-
Amy Marie Foster, O.D.
-
Michael Perry Haedt, O.D.
-
Trevor Mox, OD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Visionworks |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930032009 | IL | DME Supplier - Optician |
4385639616 | Practice locations: Gurnee, IL |
National Provider Directory
- Tax ID family
- Eyemasters Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
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
- Visionworks
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.