Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN EDICK (MC ASST)
(678) 892-3774
Entity
Organization
Contact information
Practice address
1741 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4763
(520) 836-3357
Mailing address
PO BOX 951336, DALLAS, TX 75395-1336
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
01/31/2012
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