NPIMap

Organization Active NPI

Visionworks, Inc.

Doing business as Visionworks

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1801960620
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISIONWORKS, INC.
Doing business as
Visionworks
Practice address
4910 Cutler Ave NE Ste B
N.E.
Albuquerque, NM 87110-4044
Phone
(505) 888-2480
Fax
(505) 888-4968
NPI assigned
Nov 20, 2006
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Dorothy Reynolds
Title
Director
Phone
(210) 524-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

4910 Cutler Ave NE Ste B
N.E.
Albuquerque, NM 87110-4044

Mailing address

175 E Houston St
San Antonio, TX 78205-2255
Phone (210) 524-6803

Other practice location 1

8001 Wyoming Blvd NE Ste C1
Albuquerque, NM 87113-2012
Phone (505) 797-1996

Other practice location 2

10000 Coors Byp NW # E-201
Albuquerque, NM 87114-4040
Phone (505) 897-2020

Other practice location 3

700 S Telshor Blvd Ste 1536
Las Cruces, NM 88011-8608
Phone (575) 522-8244

Other names 1

  • Visionworks Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000095 NM Part B Supplier - Clinic/Group Practice 4385639616 Receives reassigned benefits from 17 practitioners
Practice locations: Albuquerque, NM; Las Cruces, NM

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

8001 Wyoming Blvd NE
Ste C1
Albuquerque, NM 87113
Phone (505) 797-1996

700 S Telshor Blvd
Ste 1536
Las Cruces, NM 88011
Phone (575) 522-8244

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1801960620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052255",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 CUTLER AVE NE STE B",
            "address_2": "N.E.",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104044",
            "telephone_number": "505-888-2480",
            "fax_number": "505-888-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Wyoming Blvd NE Ste C1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871132012",
            "country_code": "US",
            "telephone_number": "505-797-1996",
            "fax_number": "505-797-8034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Coors Byp NW # E-201",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871144040",
            "country_code": "US",
            "telephone_number": "505-897-2020",
            "fax_number": "505-792-2725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Telshor Blvd Ste 1536",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118608",
            "country_code": "US",
            "telephone_number": "575-522-8244",
            "fax_number": "575-522-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISIONWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "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"
        },
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.