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NPI Code Detail

MEDICARE: NATIONAL VISION, INC.

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
1332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164469516
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL VISION, INC.
Provider Business Mailing Address
First Line : 296 GRAYSON HWY
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-5737
Country : US
Telephone Number : 770-822-3600
Fax Number :
Provider Business Practice Location Address
First Line : 1800 CARL D SILVER PKWY
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4960
Country : US
Telephone Number : 540-786-8180
Fax Number :
Authorized Official
Title or Position : MANAGED CARE SALES COORDINATOR
Name : LEAHANN VAUGHN
Credential :
Telephone Number : 678-892-3760
Provider Enumeration Date : 06/01/2006
Last Update Date : 10/17/2019

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