Organization
NATIONAL VISION, INC.
Active
Other names
Vista Optical (Military)
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ANTOINE (MANAGED CARE)
(678) 892-3771
Entity
Organization
Contact information
Practice address
BLDG 9214, FORT RUCKER, AL 36362
(334) 503-9603
Mailing address
2435 COMMERCE AVE BLDG 2200, DULUTH, GA 30096-4980
(800) 571-5202
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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