Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAHANN RENE VAUGHN (DIRECTOR)
(470) 448-2782
Entity
Organization
Contact information
Practice address
4600 E MAIN ST, FARMINGTON, NM 87402-8663
(505) 326-0100
Mailing address
PO BOX 951336, DALLAS, TX 75395-1336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H6997
—
NM
Enumeration date
06/03/2006
Last updated
09/17/2021
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