Organization
VISIONWORKS, INC.
Active
Other names
Visionworks
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY REYNOLDS (SR CREDENTIALING SPECIALIST)
(210) 524-6515
Entity
Organization
Contact information
Practice address
1000 ROSS PARK MALL DR, SP K11B, PITTSBURGH, PA 15237
(412) 364-6478
(412) 364-6517
Mailing address
PO BOX 848448, DALLAS, TX 75284-8448
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014503890008
—
PA
01
—
4852140157
MEDICARE
PA
Enumeration date
03/08/2010
Last updated
06/20/2018
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