Organization
OPTICAL CENTER
Active
Parent organization
NATIONAL VISION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL VISION, INC
Authorized official
SUSAN EDICK (MC ASST)
(678) 892-3774
Entity
Organization
Contact information
Practice address
FT. WAINWRIGHT AAFES EXCHANGE, BLDG 3703, OAK ST., FT. WAINWRIGHT, AK 99703
(907) 356-1227
Mailing address
296 GRAYSON HWY, LAWRENCEVILLE, GA 30046-5737
(770) 822-3600
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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