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
451 BROADWAY STREET, EIELSON AFB AAFES EXCHANGE, EIELSON, AK 99702
(907) 372-5106
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
01/09/2012
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