Organization
OPTICAL CENTER
Active
Parent organization
NATIONAL VISION, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL VISION, INC.
Authorized official
SUSAN EDICK (MC ASSISTANT)
(678) 892-3774
Entity
Organization
Contact information
Practice address
23640 N ST BLDG 758, RIVERSIDE, CA 92518-1893
(951) 656-9204
Mailing address
296 GRAYSON HWY, LAWRENCEVILLE, GA 30045-5737
(770) 822-3600
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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