National Vision
Organization Active NPI Optician · Saratoga SPGS, NY
NPI 1104051390 · NPPES record last updated May 18, 2009
Key facts
- NPI
- 1104051390
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- License
- 008386-1 (NY)
- Legal business name
- NATIONAL VISION
- Practice address
- 16 Old Gick Rd
Saratoga SPGS, NY 12866-9452 - Phone
- (518) 587-0258
- Fax
- (518) 583-3991
- NPI assigned
- May 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jeannine L Bower, OPTICIAN
- Title
- Licensed Optician
- Phone
- (518) 587-0258
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Wal Mart Vision Ctr 214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 008386-1 | NY | Yes |
Addresses
Primary practice location
16 Old Gick Rd
Saratoga SPGS, NY 12866-9452
Mailing address
16 Old Gick Rd
Saratoga SPGS, NY 12866-9452
Phone (518) 587-0258
Other providers in Saratoga SPGS, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2009. 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.