Organization
VISIONWORKS, INC.
Active
Other names
Visionworks
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY REYNOLDS (DIRECTOR OF MANAGED)
(210) 524-6515
Entity
Organization
Contact information
Practice address
277 MUNDY ST, SUITE 101, WILKES BARRE, PA 18702
(570) 829-1437
(570) 829-1920
Mailing address
PO BOX 848448, DALLAS, TX 75284-8448
(210) 340-3531
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014503890045
—
PA
01
—
4852140487
MEDICARE
PA
Enumeration date
11/19/2014
Last updated
06/20/2018
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