Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAHANN RENE VAUGHN (DIRECTOR)
(470) 448-2782
Entity
Organization
Contact information
Practice address
980 N SUSQUEHANNA TRL, SELINSGROVE, PA 17870-7766
(570) 374-8381
(570) 374-8473
Mailing address
2435 COMMERCE AVE BLDG 2200, DULUTH, GA 30096-4980
(470) 448-2782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
08/11/2020
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