National Vision Inc
Organization Active NPI Optometrist · Covington, GA
NPI 1033744255 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1033744255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- NATIONAL VISION INC
- Practice address
- 10300 Industrial Blvd NE Ste 700
Covington, GA 30014-1477 - Phone
- (770) 788-7732
- Fax
- (770) 788-7089
- NPI assigned
- Mar 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Leahann Rene Vaughn
- Title
- Managed Care Network Sprvsr
- Phone
- (470) 448-2782
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Wal Mart Vision Ctr 214
Locations
10300 Industrial Blvd NE
Ste 700
Covington, GA 30014
Phone (770) 788-7732
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
10300 Industrial Blvd NE Ste 700
Covington, GA 30014-1477
Mailing address
2435 Commerce Ave
Duluth, GA 30096-4980
Phone (800) 637-3597
Other names
- Vision Center Brought to you by Walmart
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.