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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
7901 GIBSON BLVD, BLDG 20176, KIRTLAND, NM 87117
(505) 268-0015
(505) 767-7158
Mailing address
296 GRAYSON HWY, LAWRENCEVILLE, GA 30046-5737
(800) 571-5202

Taxonomy

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

Other

Enumeration date
06/24/2013
Last updated
09/17/2021
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