Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PURCELL (PROVIDER NETWORK ADMINISTRATOR)
(770) 822-4245
Entity
Organization
Contact information
Practice address
180 NIBLICK RD, PASO ROBLES, CA 93446-4842
(805) 237-8390
Mailing address
P.O. BOX, DALLAS, TX 75395-0001
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX006013F
—
CA
Enumeration date
05/23/2006
Last updated
06/16/2008
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