Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PURCELL (PROVIDER NETWORK ADMINISTRATOR)
(770) 822-3600
Entity
Organization
Contact information
Practice address
8227 DAY CREEK BLVD, STE 100, RANCHO CUCAMONGA, CA 91739-8567
(909) 899-0885
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
—
DX005724F
—
CA
Enumeration date
05/25/2006
Last updated
11/21/2013
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