Organization
NATIONAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PURCELL (PROVIDER NETWORK ADMINISTRATOR)
(770) 822-4245
Entity
Organization
Contact information
Practice address
710 HORATIO ST, UTICA, NY 13502-1461
(315) 733-7339
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
—
02735275
—
NY
Enumeration date
05/31/2006
Last updated
06/17/2008
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