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General NPI Number Information
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NPI Number | 1255268728
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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 | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1940 TAMIAMI TRL STE 103
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2105
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Country | US
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Telephone | 941-440-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 NEWPOINT PKWY STE 100
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5582
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Country | US
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Telephone | 800-571-5202
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Fax |
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Authorized Official
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Title or Position | MANAGED CARE DIRECTOR
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Name | LEAHANN RENE VAUGHN
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Credential |
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Telephone | 404-775-9182
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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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