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General NPI Number Information
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NPI Number | 1053358879
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Entity Type | Organization
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Legal Business Name | NATIONAL VISION, INC.
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 5556 SUNSET BLVD
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City | LEXINGTON
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State | SC
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Zip | 29072-7989
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Country | US
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Telephone | 803-356-1852
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 951336
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City | DALLAS
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State | TX
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Zip | 75395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER NETWORK ADMINISTRATOR
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Name | ANNA PURCELL
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Credential |
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Telephone | 770-822-4245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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