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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1942815832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL VISION INC

Provider Business Mailing Address
First Line	:	2435 COMMERCE AVE
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4980
Country	:	US
Telephone Number	:	800-637-3597
Fax Number	:	770-220-1969

Provider Business Practice Location Address
First Line	:	210 PAUL HUFF PKWY NW UNIT 100
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2954
Country	:	US
Telephone Number	:	423-244-9825
Fax Number	:

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

Provider Enumeration Date	:	09/09/2020
Last Update Date	:	09/09/2020

Similar Medicare Providers

1003810664 — JACQUELINE H GOODIN LISW
Practice Location Address:

3430 ROCKY RIVER DR
CLEVELAND, OH
44111-2954

Practice Phone: 216-688-1111
Practice Fax: 216-251-2886

1619208014 — SHERRI L LESLIE M.A. CCC-SLP
Practice Location Address:

3430 ROCKY RIVER DR
CLEVELAND, OH
44111-2954

Practice Phone: 440-227-8664
Practice Fax:

1851011001 — SARAH FRANCES FISCUS
Practice Location Address:

3430 ROCKY RIVER DR
CLEVELAND, OH
44111-2954

Practice Phone: 216-251-0303
Practice Fax:

1205671369 — DARNICIA TASHELL BURGE
Practice Location Address:

2954 E 67TH ST
CLEVELAND, OH
44127-1459

Practice Phone: 216-296-7952
Practice Fax:

1306704127 — MRS. HANNAH ELIZABETH BUTTS
Practice Location Address:

440 STUART RD NE STE 2
CLEVELAND, TN
37312-4959

Practice Phone: 423-451-8747
Practice Fax:

1750629804 — CYNTHIA SUE HOPPER ARNP
Practice Location Address:

645 PAUL HUFF PKWY NW STE 105
CLEVELAND, TN
37312-3150

Practice Phone: 423-790-7750
Practice Fax: 423-790-7659

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.