Visionworks, Inc.
Organization Active NPI Optometrist · Shorewood, WI
NPI 1154699445 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1154699445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- VISIONWORKS, INC.
- Practice address
- 4000 N Oakland Ave
Shorewood, WI 53211-2355 - Phone
- (414) 961-7700
- Fax
- (414) 961-7703
- NPI assigned
- Dec 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Dorothy Reynolds
- Title
- Director of Managed Vision Care
- Phone
- (210) 524-6515
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 1
Practitioners 93
-
Jodi Ann Bergstrom, O.D.
-
Tristan Robert Begotka, O.D.
-
Nina Pham Christensen, O.D.
-
Wade Matthew Dennis, O.D.
-
Paul J Guenveur, OD
-
Craig Hicks, OD
-
Andrey Ianovski, OD
-
Brian J Jurgens, OD
-
Seth Arden Manke, OD
-
Christopher Cory Pollock, O.D.
-
Elizabeth Roginski, O.D.
-
Nebojsa Vesic, OD
-
Poj-Laim Hu Xiong, O.D.
-
David Zolot, OD
-
T'Sani Arias, OD
-
Travis Wayne Bailey, O.D.
-
Scott Bartlett, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120517000227 | WI | Part B Supplier - Clinic/Group Practice | 4385639616 |
Receives reassigned benefits from 79 practitioners Practice locations: Oconomowoc, WI; Shorewood, WI; Waukesha, WI; Wauwatosa, WI; West Allis, WI; West Bend, WI; Mequon, WI; Milwaukee, WI… |
National Provider Directory
- Tax ID family
- Eyemasters Inc
Locations
4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404
5300 S 76th St
Greendale, WI 53129
Phone (414) 421-6450
7214 Green Bay Rd
Kenosha, WI 53142
Phone (262) 577-3400
11340 N Port Washington Rd
Mequon, WI 53092
Phone (262) 240-0455
203A E Wisconsin Ave
Oconomowoc, WI 53066
Phone (262) 567-2960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
4000 N Oakland Ave
Shorewood, WI 53211-2355
Mailing address
PO Box 848448
Dallas, TX 75284-8448
Phone (210) 524-6663
Other names
- Visionworks
Other providers in Shorewood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2014. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.