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Organization
NATIONAL VISION, INC.
Active
Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN EDICK (MC ASST.)
(678) 892-3774
Entity
Organization
Contact information
Practice address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
(541) 779-0362
Mailing address
296 GRAYSON HWY, LAWRENCEVILLE, GA 30046-5737
(770) 822-3600
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
05/02/2011
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