Organization Active NPI

National Vision, Inc.

Doing business as Ft. Lewis Optometry Clinic

  • Optician
  • Fort Lewis, WA
National Provider Identifier
1205081627
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
NATIONAL VISION, INC.
Doing business as
Ft. Lewis Optometry Clinic
Practice address
Ft. Lewis Optometry Clinic
BLDG. 202
Ft. Lewis, WA 98433
Phone
(253) 964-4140
NPI assigned
Nov 26, 2008
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL VISION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Carly Schenck
Title
Manager, Managed Care Sales
Phone
(678) 892-3760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

Ft. Lewis Optometry Clinic
BLDG. 202
Ft. Lewis, WA 98433

Mailing address

296 Grayson Hwy
Lawrenceville, GA 30045-5737
Phone (770) 822-3600

Other names 1

  • Ft. Lewis Optometry Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Americas Best Contacts and Eyeglasses Inc

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1205081627",
    "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": "300455737",
            "telephone_number": "770-822-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FT. LEWIS OPTOMETRY CLINIC",
            "address_2": "BLDG. 202",
            "city": "FT. LEWIS",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-964-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL VISION, INC.",
        "enumeration_date": "2008-11-26",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SCHENCK",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "MANAGER, MANAGED CARE SALES",
        "authorized_official_telephone_number": "678-892-3760"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft. Lewis Optometry Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lewis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.