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	:	1699534727
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	:	678-892-3760
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 W OREGON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4197
Country	:	US
Telephone Number	:	215-845-6221
Fax Number	:

Authorized Official
Title or Position	:	MGD CARE SALES
Name	:	LEAHANN RENE VAUGHN
Credential	:
Telephone Number	:	470-448-2782

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

Similar Medicare Providers

1649900119 — DAMALI NAJUMA STANSBURY LMSW
Practice Location Address:

2240 W OREGON AVE # 20129
PHILADELPHIA, PA
19145-4197

Practice Phone: 215-978-2072
Practice Fax:

1659612406 — BRITTANY V TOOLE D.C.
Practice Location Address:

2200 W OREGON AVE # 20007
PHILADELPHIA, PA
19145-4197

Practice Phone: --
Practice Fax:

1477228906 — MK GLAM RX
Practice Location Address:

2290 W OREGON AVE # 1026
PHILADELPHIA, PA
19145-4197

Practice Phone: 267-399-0081
Practice Fax:

1235973744 — TYISHA CHARLES CPT, CNA
Practice Location Address:

2290 W OREGON AVE # 1141
PHILADELPHIA, PA
19145-4197

Practice Phone: 267-971-0372
Practice Fax:

1811706740 — THE PHLEBOTOTMY INSTITUTE MOBILE
Practice Location Address:

709 N 2ND STREET , SUITE 400 #1241
PHILADELPHIA, PA
19123-4197

Practice Phone: 520-729-2707
Practice Fax: 445-800-8643

1164478665 — ACME MARKETS INC
Practice Location Address:

1901 JOHNSTON ST
PHILADELPHIA, PA
19145-4720

Practice Phone: 215-336-5553
Practice Fax: 215-336-2311

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.