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General NPI Number Information
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NPI Number | 1184661423
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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 | 06/02/2006
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 1200 N MAIN ST
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City | SUFFOLK
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State | VA
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Zip | 23434-4358
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Country | US
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Telephone | 757-925-0477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 951336
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City | DALLAS
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State | TX
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Zip | 75395-1336
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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 | MANAGED CARE SALES COORDINATOR
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Name | GINA TAYLOR
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Credential |
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Telephone | 470-448-2092
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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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