Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1053769836 |
| LBN Legal business name | NATIONAL VISION, INC. |
| Authorized official | LISA BAGGETT - (MANAGED CARE COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/02/2016 |
| Last updated | 06/02/2016 - About 10 years ago |
| Identifiers | n/a |
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