Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY SCHENCK (MANAGER, MANAGED CARE SALES)
(678) 892-3760
Entity
Organization
Contact information
Practice address
2220 S BRADLEY RD, SANTA MARIA, CA 93455-1348
(805) 928-9560
Mailing address
PO BOX 951336, DALLAS, TX 75395-1336
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX006461F
—
CA
Enumeration date
05/24/2006
Last updated
08/14/2014
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