Active NPI
National Vision, Inc.
- Optometrist
- Dover, DE
National Provider Identifier
1336093616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NATIONAL VISION, INC.
- Practice address
- 442 13TH St
Dover, DE 19902-6403 - Phone
- (302) 730-8784
- NPI assigned
- Feb 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leahann Rene Vaughn
- Title
- Managed Care Director
- Phone
- (404) 775-9182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
442 13TH St
Dover, DE 19902-6403
Mailing address
2435 Commerce Ave BLDG 2200
Duluth, GA 30096-4980
Phone (470) 448-2092
Other names 1
- Vista Optical in Select Military Exchanges
National Provider Directory
National Provider Directory- Tax ID family
- Wal Mart Vision Ctr 214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1336093616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 COMMERCE AVE BLDG 2200",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964980",
"telephone_number": "470-448-2092",
"fax_number": "470-448-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 13TH ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199026403",
"telephone_number": "302-730-8784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL VISION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "LEAHANN",
"authorized_official_middle_name": "RENE",
"authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
"authorized_official_telephone_number": "404-775-9182"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vista Optical in Select Military Exchanges",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.