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General NPI Number Information
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NPI Number | 1114641248
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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 | 10/03/2022
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 10200 EASTERN SHORE BLVD STE 170
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City | SPANISH FORT
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State | AL
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Zip | 36527-5823
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Country | US
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Telephone | 251-264-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 2435 COMMERCE AVE BLDG 2200
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City | DULUTH
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State | GA
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Zip | 30096-4980
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Country | US
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Telephone | 770-822-3600
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Fax |
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Authorized Official
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Title or Position | MANAGED CARE STORE ENROLLMENT
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Name | JULIE GARRISON
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Credential |
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Telephone | 770-822-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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