NPIMap

Organization Active NPI

National Vision, Inc.

  • Optician
  • Fort Bliss, TX
National Provider Identifier
1083967657
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
NATIONAL VISION, INC.
Practice address
Fort Bliss Main Exchange
BLDG. 1616, Ste. F107
Fort Bliss, TX 79906
Phone
(915) 566-8639
Fax
(915) 566-8734
NPI assigned
Oct 19, 2012
Organization subpart
Yes
Parent organization
NATIONAL VISION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Antoine
Title
Analyst/Managed Care Sales
Phone
(678) 892-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

Fort Bliss Main Exchange
BLDG. 1616, Ste. F107
Fort Bliss, TX 79906

Mailing address

296 Grayson Hwy
Lawrenceville, GA 30046-5737
Phone (770) 822-3600

Other names 1

  • Optical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wal Mart Vision Ctr 2141,614 organizations share this tax ID, including this one
Part of
Wal Mart Vision Ctr 214

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1083967657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465737",
            "telephone_number": "770-822-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT BLISS MAIN EXCHANGE",
            "address_2": "BLDG. 1616, STE. F107",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79906",
            "telephone_number": "915-566-8639",
            "fax_number": "915-566-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL VISION, INC.",
        "enumeration_date": "2012-10-19",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ANALYST/MANAGED CARE SALES",
        "authorized_official_telephone_number": "678-892-3771"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Bliss, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.