NPIMap

Visionworks, Inc.

Organization Active NPI Optometrist · Niles, IL

NPI 1831115906 · NPPES record last updated Jun 2, 2015

Key facts

NPI
1831115906
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
VISIONWORKS, INC.
Practice address
239 Golf Mill Ctr
Ste 255
Niles, IL 60714-5658
Phone
(847) 297-2286
Fax
(847) 759-3452
NPI assigned
Jul 14, 2006
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 181

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 181

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040923001173 IL Part B Supplier - Clinic/Group Practice 4385639616 Receives reassigned benefits from 109 practitioners
Practice locations: Hoffman Estates, IL; Homewood, IL; Joliet, IL; Kildeer, IL; Lincolnwood, IL; Lombard, IL; McHenry, IL; Niles, IL…

National Provider Directory

Tax ID family
Eyemasters Inc (63 organizations share this tax ID)

Locations

2333 W 95th St
Chicago, IL 60643
Phone (773) 239-4881

4100 N Cicero Ave
Chicago, IL 60641
Phone (773) 427-9378

2701 N Clark St
Chicago, IL 60614
Phone (312) 588-0159

5765 Northwest Hwy
Ste 106
Crystal Lake, IL 60014
Phone (815) 444-0662

3340 Mall Loop Dr
Spc 1442
Joliet, IL 60431
Phone (815) 436-1582

3333 W Touhy Ave
Ste D
Lincolnwood, IL 60712
Phone (847) 673-3902

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

239 Golf Mill Ctr
Ste 255
Niles, IL 60714-5658

Mailing address

175 E Houston St
San Antonio, TX 78205-2255
Phone (210) 524-6663

Other names

  • Visionworks Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2015.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1831115906",
    "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": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLF MILL CTR",
            "address_2": "STE 255",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145658",
            "telephone_number": "847-297-2286",
            "fax_number": "847-759-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "MVC-DIRECTOR",
        "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 Niles, IL

All providers in Niles, IL · Optometrist in Illinois

Sources for this page

Verify at the official NPI Registry.