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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
1152W00000XOptometrist

General Provider Information

NPI Number : 1831835792
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 : 5203 MONROE ST STE 100A
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3139
Country : US
Telephone Number : 567-455-9232
Fax Number :
Authorized Official
Title or Position : MANAGED CARE STORE ENROLLMENT
Name : JULIE GARRISON
Credential :
Telephone Number : 177-082-2360
Provider Enumeration Date : 05/12/2022
Last Update Date : 05/12/2022

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Directions to “NATIONAL VISION INC ” Practice Location

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