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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

General Provider Information

NPI Number : 1447207568
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL VISION, INC.
Provider Business Mailing Address
First Line : PO BOX 951336
Second Line :
City : DALLAS
State : TX
Zip : 75395-1336
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1905 N 14TH AVE
Second Line :
City : DODGE CITY
State : KS
Zip : 67801-2304
Country : US
Telephone Number : 620-227-5440
Fax Number :
Authorized Official
Title or Position : MANAGED CARE SALES COORDINATOR
Name : LEAHANN VAUGHN
Credential :
Telephone Number : 470-448-2782
Provider Enumeration Date : 05/27/2006
Last Update Date : 01/14/2015

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