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
6410 INTERSTATE 45, LA MARQUE, TX 77568-3085
(409) 986-7835
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
—
066218101
—
TX
Enumeration date
06/03/2006
Last updated
01/14/2015
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