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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 ASSISTANT)
(678) 892-3774
Entity
Organization

Contact information

Practice address
506 LARCHER BLVD BLDG 2306, KEESLER AFB, MS 39534-2342
(228) 435-4418
(228) 432-2324
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
03/30/2010
Last updated
03/30/2010
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