Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1003303736 |
| LBN Legal business name | NATIONAL VISION, INC. |
| Authorized official | BRIAN MATOS - (MANAGED CARE SALES COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/18/2018 |
| Last updated | 04/18/2018 - About 8 years ago |
| Identifiers | n/a |
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