MEDICARE: NATIONAL VISION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

General Provider Information

NPI Number	:	1245692110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL VISION, INC.

Provider Business Mailing Address
First Line	:	2435 COMMERCE AVE
Second Line	:	BLDG 2200
City	:	DULUTH
State	:	GA
Zip	:	30096-4980
Country	:	US
Telephone Number	:	800-571-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	119A STONEBROOK PL
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3636
Country	:	US
Telephone Number	:	731-215-6490
Fax Number	:	731-664-3261

Authorized Official
Title or Position	:	MANAGED CARE SALES COORDINATOR
Name	:	LEAHANN VAUGHN
Credential	:
Telephone Number	:	470-448-2782

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	03/22/2016

Similar Medicare Providers

1922667682 — DR. BRITTANY RENEE BRYANT OD
Practice Location Address:

119 STONEBROOK PL STE A
JACKSON, TN
38305-3636

Practice Phone: 731-215-6490
Practice Fax:

1003885328 — DR. RONALD KEITH ADAMS D.C.
Practice Location Address:

3350 SPRING ARBOR RD
JACKSON, MI
49203-3636

Practice Phone: 517-783-5805
Practice Fax: 517-783-4287

1730148594 — DR. ANDREW CARL CHALFANT D.C.
Practice Location Address:

3350 SPRING ARBOR RD
JACKSON, MI
49203-3636

Practice Phone: 517-783-5805
Practice Fax: 517-783-5805

1265491047 — DR. LANCE ERIC CHALFANT D.C.
Practice Location Address:

3350 SPRING ARBOR RD
JACKSON, MI
49203-3636

Practice Phone: 517-783-5805
Practice Fax: 517-783-4287

1609101948 — SUMMIT CHIROPRACTIC CLINIC LLC
Practice Location Address:

3350 SPRING ARBOR RD
JACKSON, MI
49203-3636

Practice Phone: 517-783-5805
Practice Fax: 517-783-4287

1548752249 — LESLIE EXCEPTIONAL HOME CARE
Practice Location Address:

6135 JACKSON ST
PHILADELPHIA, PA
19135-3636

Practice Phone: 267-366-5220
Practice Fax: 215-743-2079

Directions to “NATIONAL VISION, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.