Organization
NATIONAL VISION, INC.
Active
Other names
Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEAHANN VAUGHN (MANAGED CARE SALES COORDINATOR)
(678) 892-3760
Entity
Organization
Contact information
Practice address
204 TOWN CENTER RD, FAYETTEVILLE, WV 25840-9540
(304) 574-3788
Mailing address
296 GRAYSON HWY, LAWRENCEVILLE, GA 30046-5737
(770) 822-3600
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151470004
—
WV
Enumeration date
06/09/2006
Last updated
11/07/2014
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