NPIMap

Organization Active NPI

Visionworks, Inc.

Doing business as Visionworks

  • Optometrist
  • Niles, IL
National Provider Identifier
1831115906
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISIONWORKS, INC.
Doing business as
Visionworks
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
Last updated
Jun 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Visionworks Doing business as

Medicare participation

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

Enrollment records 1

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…

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 3

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

Locations

511 E Palatine Rd
Arlington Heights, IL 60004
Phone (847) 818-9185

623 E Boughton Rd
Ste 120
Bolingbrook, IL 60440
Phone (630) 783-1514

1101 S Canal St
Ste 108
Chicago, IL 60607
Phone (312) 558-0159

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

120 S Mannheim Rd
Unit H01
Hillside, IL 60162
Phone (708) 547-7312

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

419 Hawthorn Ctr
Vernon Hills, IL 60061
Phone (847) 549-0197

Practitioners & affiliated clinicians

Practitioners 172

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 172

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.