Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1053798348 |
| LBN Legal business name | NATIONAL VISION, INC. |
| Authorized official | LEAHANN VAUGHN - (MANAGED CARE SALES COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/06/2015 |
| Last updated | 05/06/2015 - About 11 years ago |
| Identifiers | n/a |
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| KATHLEEN A HAFNER, OPTICIAN 31090 LAZY RIDGE WALLER, TX |