Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI # | 1992747554 |
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| LBN Legal business name | NATIONAL VISION, INC. | ||||
| Authorized official | LEAHANN VAUGHN - (MANAGED CARE SALES COORDINATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/11/2006 | ||||
| Last updated | 11/24/2015 - About 11 years ago | ||||
| Identifiers |
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