Organization Name: | NATIONAL VISION, INC. |
NPI Number: | 1154726842 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEAHANN VAUGHN (MANAGED CARE SALES COORDINATOR) |
Mailing Address: | 2569 South 5600 West Ste A 550 West Valley |
State: | UT US |
Postal Code: | 84120 |
Phone Number: | 8012971773 |
Fax Number: | 8012971776 |
NPI Enumeration Date: | 10/24/2014 |
NPI Last Update Date: | 10/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |