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 ASST)
(678) 892-3774
Entity
Organization
Contact information
Practice address
7071 N 138TH AVE, GLENDALE, AZ 85307-2006
(623) 935-1179
(623) 215-4425
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
12/02/2011
Last updated
12/02/2011
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