Organization
NATIONAL VISION, INC.
Active
Other names
Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEAHANN VAUGHN (MANAGED CARE SALES COORDINATOR)
(470) 448-2782
Entity
Organization
Contact information
Practice address
4500 N MAIN ST, ROSWELL, NM 88201-0305
(505) 622-7262
Mailing address
2435 COMMERCE AVE, BLDG 2200, DULUTH, GA 30096-4980
(800) 571-5202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H7001
—
NM
Enumeration date
05/31/2006
Last updated
09/17/2021
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