NPIMap

Organization Active NPI

National Vision, Inc.

Doing business as Eyeglass World

  • Optician
  • San Diego, CA
National Provider Identifier
1093169476
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
NATIONAL VISION, INC.
Doing business as
Eyeglass World
Practice address
3625 Midway Dr
Suite P
San Diego, CA 92110-5253
Phone
(619) 321-4681
Fax
(619) 221-2990
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Lisa Baggett
Title
Managed Care Coordinator
Phone
(770) 822-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

3625 Midway Dr
Suite P
San Diego, CA 92110-5253

Mailing address

2435 Commerce Ave
BLDG 2200
Duluth, GA 30096-4980
Phone (800) 571-5202

Other names 1

  • Eyeglass World Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wal-Mart Vision Ctr 17ASC1,623 organizations share this tax ID, including this one

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": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1093169476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 COMMERCE AVE",
            "address_2": "BLDG 2200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964980",
            "telephone_number": "800-571-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MIDWAY DR",
            "address_2": "SUITE P",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105253",
            "telephone_number": "619-321-4681",
            "fax_number": "619-221-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "BAGGETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "770-822-4203"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeglass World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.