Provider Demographics
NPI:1326196007
Name:CONSOLIDATED VISION GROUP
Entity Type:Organization
Organization Name:CONSOLIDATED VISION GROUP
Other - Org Name:AMERICA'S BEST CONTACTS & EYEGLASSES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MONAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-892-3283
Mailing Address - Street 1:296 GRAYSON HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046
Mailing Address - Country:US
Mailing Address - Phone:800-571-5202
Mailing Address - Fax:770-822-4383
Practice Address - Street 1:2437 S. 24TH ST.
Practice Address - Street 2:STE. E
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4128
Practice Address - Country:US
Practice Address - Phone:215-468-3469
Practice Address - Fax:215-468-3934
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL VISION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-08
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier