Provider Demographics
NPI:1932206216
Name:VISION WORLD, INC.
Entity type:Organization
Organization Name:VISION WORLD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWCOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-524-6700
Mailing Address - Street 1:11103 WEST AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1370
Mailing Address - Country:US
Mailing Address - Phone:210-524-6663
Mailing Address - Fax:210-524-6587
Practice Address - Street 1:1301 18TH AVE NW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-1888
Practice Address - Country:US
Practice Address - Phone:507-437-6443
Practice Address - Fax:507-437-6448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC02894Medicare PIN
MNC02892Medicare PIN
MNC02898Medicare PIN
MNC02918Medicare PIN
MNC02919Medicare PIN
MNC02916Medicare PIN
MNC02917Medicare PIN
MNC02922Medicare PIN
MNC02895Medicare PIN
MNC02920Medicare PIN
MNC02921Medicare PIN
MNC02893Medicare PIN
MNC02897Medicare PIN
MNC02923Medicare PIN