Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARITA LAWSON (PROVIDER NETWORK ADMINISTRATOR)
(800) 571-5202
Entity
Organization
Contact information
Practice address
1200 N LACROSSE ST, RAPID CITY, SD 57701-6984
(605) 348-4881
Mailing address
PO BOX 951336, DALLAS, TX 75395-1336
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9281240
—
SD
Enumeration date
06/03/2006
Last updated
05/10/2010
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