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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1275408429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL VISION INC

Provider Business Mailing Address
First Line	:	2435 COMMERCE AVE BLDG 2200
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4980
Country	:	US
Telephone Number	:	770-822-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4851 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-4529
Country	:	US
Telephone Number	:	872-231-6049
Fax Number	:

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

Provider Enumeration Date	:	10/08/2025
Last Update Date	:	10/13/2025

Similar Medicare Providers

1629031588 — LUNA MEDICAL, INC.
Practice Location Address:

800 S WELLS ST
CHICAGO, IL
60607-4529

Practice Phone: 800-380-4339
Practice Fax:

1124131313 — HEATHER KATTLEMAN DEGREGORIO PT
Practice Location Address:

800 S WELLS ST , SUITE M5
CHICAGO, IL
60607-4529

Practice Phone: 312-431-7961
Practice Fax: 312-431-7644

1679661821 — DR. DANNY HIROSHI SUGIMOTO MD
Practice Location Address:

800 S WELLS ST , SUITE M-15
CHICAGO, IL
60607-4529

Practice Phone: 312-431-6765
Practice Fax: 312-431-7959

1114005600 — SEHJIN HAN MD
Practice Location Address:

980 N MICHIGAN AVE STE 1100
CHICAGO, IL
60611-4529

Practice Phone: 312-877-5522
Practice Fax: 312-877-5521

1184754244 — CARSON R LUX PT
Practice Location Address:

800 S WELLS ST , SUITE 137
CHICAGO, IL
60607-4529

Practice Phone: 312-432-2590
Practice Fax: 312-427-0616

1548443088 — PROPER BALANCE HEALTHCARE
Practice Location Address:

800 S WELLS ST STE 150
CHICAGO, IL
60607-4529

Practice Phone: 312-339-5571
Practice Fax: 312-280-1570

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.