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Organization

NATIONAL VISION OPTICAL

Active
Parent organization
NATIONAL VISION, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONAL VISION, INC.
Authorized official
LEAHANN RENE VAUGHN (DIRECTOR)
(470) 448-2782
Entity
Organization

Contact information

Practice address
MAIN EXCHANGE BLDG. 260, WHITE SANDS MISSILE RANGE, NM 88002
(575) 674-1280
(575) 652-4623
Mailing address
296 GRAYSON HWY, LAWRENCEVILLE, GA 30046-5737
(770) 822-3600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
156FX1800X
Optician

Other

Enumeration date
10/30/2012
Last updated
02/25/2022
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