MEDICARE: NATIONAL VISION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

General Provider Information

NPI Number	:	1053851394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL VISION, INC.

Provider Business Mailing Address
First Line	:	2435 COMMERCE AVE
Second Line	:	BLDG 2200
City	:	DULUTH
State	:	GA
Zip	:	30096-4980
Country	:	US
Telephone Number	:	800-571-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	13079 HARBOR BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1739
Country	:	US
Telephone Number	:	714-620-1512
Fax Number	:

Authorized Official
Title or Position	:	MANAGED CARE
Name	:	ERIC ANTOINE
Credential	:
Telephone Number	:	678-892-3771

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	03/06/2017

Similar Medicare Providers

1760550669 — NEW HOPE PHARMA INC
Practice Location Address:

13075 HARBOR BLVD
GARDEN GROVE, CA
92843-1739

Practice Phone: 714-638-2888
Practice Fax: 714-638-8345

1508027913 — MRS. NGOC HONG VU RPH.
Practice Location Address:

13075 HARBOR BLVD
GARDEN GROVE, CA
92843-1739

Practice Phone: 714-638-2888
Practice Fax: 714-638-8345

1962805168 — DR. LEINAH NGUYEN O.D.
Practice Location Address:

13079 HARBOR BLVD
GARDEN GROVE, CA
92843-1739

Practice Phone: 714-620-1512
Practice Fax: 714-741-3904

1376764571 — WEST STAR PHYSICAL THERAPY, INC.
Practice Location Address:

12062 VALLEY VIEW ST STE 200
GARDEN GROVE, CA
92845-1739

Practice Phone: 714-827-4822
Practice Fax:

1639345010 — AUTUMN HOSPICE, INC.
Practice Location Address:

12062 VALLEY VIEW ST STE 216
GARDEN GROVE, CA
92845-1739

Practice Phone: 626-622-2034
Practice Fax:

1992049639 — ALISON L DUNCAN PSYD., BCBA
Practice Location Address:

12062 VALLEY VIEW ST STE 220
GARDEN GROVE, CA
92845-1739

Practice Phone: 203-494-1328
Practice Fax:

Directions to “NATIONAL VISION, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.