Provider Demographics
NPI: | 1568910032 |
---|---|
Name: | NATIONAL VISION, INC. |
Entity Type: | Organization |
Organization Name: | NATIONAL VISION, INC. |
Other - Org Name: | AMERICA'S BEST CONTACTS & EYEGLASSES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | MANAGED CARE |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ERIC |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ANTOINE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 678-892-3771 |
Mailing Address - Street 1: | 2435 COMMERCE AVE |
Mailing Address - Street 2: | BLDG 2200 |
Mailing Address - City: | DULUTH |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30096-4980 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 800-571-5205 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7342 SAN PEDRO AVE |
Practice Address - Street 2: | |
Practice Address - City: | SAN ANTONIO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78216-6224 |
Practice Address - Country: | US |
Practice Address - Phone: | 210-276-2256 |
Practice Address - Fax: | 719-576-9242 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-09-14 |
Last Update Date: | 2016-09-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | Optician | Group - Single Specialty |