Visionworks, Inc.
Organization Active NPI Eyewear Supplier · West Allis, WI
NPI 1750668299 · NPPES record last updated Nov 27, 2013
Key facts
- NPI
- 1750668299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- VISIONWORKS, INC.
- Practice address
- 2761 S 108TH St
West Allis, WI 53227-3232 - Phone
- (414) 321-2425
- Fax
- (414) 321-4647
- NPI assigned
- Nov 11, 2011
- Organization subpart
- No
Authorized official
- Name
- Dorothy Reynolds
- Title
- MVC Director
- Phone
- (210) 524-6515
Other NPIs with the same Medicare PAC ID 15
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120227000492 | WI | DME Supplier - Optician | 4385639616 | Practice locations: West Allis, WI |
National Provider Directory
Locations
2761 S 108th St
West Allis, WI 53227
Phone (414) 321-2425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
2761 S 108TH St
West Allis, WI 53227-3232
Mailing address
PO Box 848448
Dallas, TX 75284-8448
Phone (210) 524-6663
Other names
- Visionworks
Other providers in West Allis, WI
- Veronica Marie Vincent
- Vision Forward Association Incorporated
- Vision Forward Association, Inc.
- Vision Mart, Inc
- Vision Mart, Inc
- Visiting Nurse Association of Wisconsin Inc
- Visiting Nurse Association of Wisconsin, Inc.
- Visiting Nurse Association of Wisconsin, Inc.
- Visiting Nurse Association of Wisconsin, Inc.
- Visiting Nurse Association of Wisconsin, Inc.
All providers in West Allis, WI · Eyewear Supplier in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2013. 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.