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	332H00000X	Eyewear Supplier	200317665	FL
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1649325549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL VISION, INC.

Provider Business Mailing Address
First Line	:	296 GRAYSON HIGHWAY
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046
Country	:	US
Telephone Number	:	770-822-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 DEL PRADO BLVD.
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990
Country	:	US
Telephone Number	:	239-772-3882
Fax Number	:	239-772-8783

Authorized Official
Title or Position	:	SR. VICE PRESIDENT, PROFESSIONAL SE
Name	:	MR. ROBERT W. STEIN
Credential	:
Telephone Number	:	770-822-3600

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	01/02/2010

Similar Medicare Providers

1235574484 — AGUSTIN RODOLFO LOPEZ LEIROS RPH
Practice Location Address:

1631 DEL PRADO BLVD S STE 300
CAPE CORAL, FL
33990-6740

Practice Phone: 786-577-2018
Practice Fax: 786-957-5158

1962338848 — LEE HEALTH SYSTEM INC
Practice Location Address:

1435 SE 8TH TER STE E
CAPE CORAL, FL
33990-3289

Practice Phone: 239-343-1890
Practice Fax: 239-772-0186

1861080319 — GOLDEN PHOENIX MENTAL HEALTH LLC
Practice Location Address:

2328 HANCOCK BRIDGE PKWY STE 109
CAPE CORAL, FL
33990-1455

Practice Phone: 786-353-2324
Practice Fax: 786-957-2909

1932030236 — DR. JONATHAN ELAN SIEGEL DO
Practice Location Address:

636 DEL PRADO BLVD S
CAPE CORAL, FL
33990-2668

Practice Phone: 239-424-4000
Practice Fax:

1134879018 — CLAIRE LUCERO MD
Practice Location Address:

636 DEL PRADO BLVD
CAPE CORAL, FL
33990-2695

Practice Phone: 239-424-2602
Practice Fax: 239-343-1009

1689508913 — JIATIAN QU
Practice Location Address:

708 DEL PRADO BLVD
CAPE CORAL, FL
33990-5616

Practice Phone: 239-424-2045
Practice Fax:

1699150953 — BRUNETTE BASTIEN ARNP
Practice Location Address:

1425 VISCAYA PKWY STE 101
CAPE CORAL, FL
33990-3294

Practice Phone: 239-919-4851
Practice Fax: 239-236-1200

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.