NPIMap

Organization Active NPI

Visionworks, Inc.

Doing business as Visionworks

  • Optometrist
  • Shorewood, WI
National Provider Identifier
1154699445
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISIONWORKS, INC.
Doing business as
Visionworks
Practice address
4000 N Oakland Ave
Shorewood, WI 53211-2355
Phone
(414) 961-7700
Fax
(414) 961-7703
NPI assigned
Dec 1, 2011
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dorothy Reynolds
Title
Director of Managed Vision Care
Phone
(210) 524-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

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 1

  • Visionworks Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

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
Vision World64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

Locations

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

7214 Green Bay Rd
Kenosha, WI 53142
Phone (262) 577-3400

4000 N Oakland Ave
Shorewood, WI 53211
Phone (414) 961-7700

Practitioners & affiliated clinicians

Practitioners 87

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 87

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1154699445",
    "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": "4000 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112355",
            "telephone_number": "414-961-7700",
            "fax_number": "414-961-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED VISION CARE",
        "authorized_official_telephone_number": "210-524-6515"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.