NPI Code Details Logo

NPI 1316891534

NPI 1316891534 : NATIONAL VISION, INC. : NEWPORT NEWS, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316891534
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NATIONAL VISION, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/24/2026
-----------------------------------------------------
    Last Update Date     |    02/24/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1386 WASHINGTON BLVD 
-----------------------------------------------------
    City                 |    NEWPORT NEWS
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23604-1281
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    757-847-3045
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2435 COMMERCE AVE BLDG 2200 
-----------------------------------------------------
    City                 |    DULUTH
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30096-4980
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    470-448-2092
-----------------------------------------------------
    Fax                  |    470-448-2092
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGED CARE DIRECTOR
-----------------------------------------------------
    Name                 |     LEAHANN RENE VAUGHN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    404-775-9182
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.