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General NPI Number Information
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NPI Number | 1518356229
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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 | 01/19/2015
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 3641 W NORTHWEST HWY STE 170
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City | DALLAS
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State | TX
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Zip | 75220-5935
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Country | US
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Telephone | 214-765-5830
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Fax | 214-366-0936
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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 | 770-822-3600
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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 | LEAHANN VAUGHN
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Credential |
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Telephone | 470-448-2782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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