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	:	1346944568
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	:	770-212-7579
Fax Number	:

Provider Business Practice Location Address
First Line	:	6977 RIDGMAR MEADOW RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-1514
Country	:	US
Telephone Number	:	817-386-1380
Fax Number	:

Authorized Official
Title or Position	:	MANAGED CARE STORE ENROLLMENT
Name	:	JULIE GARRISON
Credential	:
Telephone Number	:	770-212-7579

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

Similar Medicare Providers

1063548089 — KARA C. NGUYEN OD PA
Practice Location Address:

2832 S HULEN ST
FORT WORTH, TX
76109-1514

Practice Phone: 917-926-6046
Practice Fax: 817-921-9429

1063915957 — ALI BUSOUL DO
Practice Location Address:

2830 S HULEN ST # 365
FORT WORTH, TX
76109-1514

Practice Phone: 817-239-3915
Practice Fax:

1114382173 — GN HEARING CARE CORP.
Practice Location Address:

3981 S JOG RD # 2
LAKE WORTH, FL
33467-1514

Practice Phone: 561-966-6299
Practice Fax:

1467224394 — VALERIA CHRISTINA DALMAU
Practice Location Address:

416 INGLEWOOD DR
LAKE WORTH, FL
33461-1514

Practice Phone: 561-374-1087
Practice Fax:

1467429290 — FORT LOWELL PHYSICAL THERAPY, PC
Practice Location Address:

2560 E FORT LOWELL RD
TUCSON, AZ
85716-1514

Practice Phone: 520-323-9086
Practice Fax: 520-323-6364

1992744429 — MS. SHAUNA FORSYTH SMITH P.T.
Practice Location Address:

2560 E FORT LOWELL RD
TUCSON, AZ
85716-1514

Practice Phone: 520-323-9086
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.