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Organization

EYEGLASS WORLD

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
2109 66TH STREET N., ST. PETERSBURG, FL 33710
(727) 342-5226
(727) 342-5231
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
05/15/2012
Last updated
05/15/2012
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