| Organization Name: | NATIONAL VISION INC |
| NPI Number: | 1578799805 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORIANA NASTO (ASSISTENT MANAGER) |
| Mailing Address: | 161 Berlin Rd Cromwell |
| State: | CT US |
| Postal Code: | 064161021 |
| Phone Number: | 8606356221 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2009 |
| NPI Last Update Date: | 06/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 001587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |