NPIMap

Organization Active NPI

Visionworks, Inc.

Doing business as Visionworks

  • Optometrist
  • Erie, PA
National Provider Identifier
1063579837
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISIONWORKS, INC.
Doing business as
Visionworks
Practice address
560 Millcreek Mall
Erie, PA 16565-0502
Phone
(814) 868-8540
Fax
(814) 868-5321
NPI assigned
Jan 2, 2007
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Dorothy Reynolds
Title
VP Retail Managed Care
Phone
(210) 524-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

560 Millcreek Mall
Erie, PA 16565-0502

Mailing address

PO Box 848448
Dallas, TX 75284-8448
Phone (800) 349-5120

Other names 1

  • Visionworks Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050628000780 PA Part B Supplier - Clinic/Group Practice 4385639616 Receives reassigned benefits from 186 practitioners
Practice locations: Philadelphia, PA; Pittsburgh, PA; Pleasant Hills, PA; Plymouth Meeting, PA; Pottstown, PA; Quakertown, PA; Radnor, PA; Royersford, PA…

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

National Provider Directory

National Provider Directory
Tax ID family
Visionworks63 organizations share this tax ID, including this one

Locations

968 Norland Ave
Chambersburg, PA 17201
Phone (717) 263-7424

5072 Jonestown Rd
Harrisburg, PA 17112
Phone (717) 541-0961

160 N Gulph Rd
Ste 2007A
King of Prussia, PA 19406
Phone (610) 265-5940

118 Wagner Rd
Monaca, PA 15061
Phone (724) 775-2987

253 Monroeville Mall
Monroeville, PA 15146
Phone (412) 372-3018

2250 Christopher Columbus Blvd
Philadelphia, PA 19148
Phone (215) 339-5341

100 Robinson Center Dr
Spc 1530
Pittsburgh, PA 15205
Phone (412) 788-4054

1000 Ross Park Mall Dr
Spc K11B
Pittsburgh, PA 15237
Phone (412) 364-6478

301 S Hills Vlg
Spc 2265A
Pittsburgh, PA 15241
Phone (412) 833-5675

968 Freeport Rd
Pittsburgh, PA 15238
Phone (412) 781-1012

264 Upland Sq Dr
Pottstown, PA 19464
Phone (610) 705-1890

1810 E Ridge Pike
Ste 100
Royersford, PA 19468
Phone (610) 454-0546

Practitioners & affiliated clinicians

Practitioners 188

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 188

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1063579837",
    "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": "800-349-5120",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MILLCREEK MALL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165650502",
            "telephone_number": "814-868-8540",
            "fax_number": "814-868-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "VP RETAIL MANAGED CARE",
        "authorized_official_telephone_number": "210-524-6515"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.