NPIMap

National Vision, Inc.

Organization Active NPI Eyewear Supplier · Spruce Pine, NC

NPI 1609823095 · NPPES record last updated Jun 17, 2008

Key facts

NPI
1609823095
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
NATIONAL VISION, INC.
Practice address
2514 Halltown Rd
Spruce Pine, NC 28777-5461
Phone
(828) 765-5004
NPI assigned
May 30, 2006
Organization subpart
No

Authorized official

Name
Anna Purcell
Title
Provider Network Administrator
Phone
(770) 822-4245

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Wal Mart Vision Ctr 214 (1,614 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

2514 Halltown Rd
Spruce Pine, NC 28777-5461

Mailing address

PO Box 951336
Dallas, TX 75395-1336

Other identifiers

IdentifierTypeStateIssuer
8002057MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2008.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1609823095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951336",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753951336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 HALLTOWN RD",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287775461",
            "telephone_number": "828-765-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PROVIDER NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "770-822-4245"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8002057",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

All providers in Spruce Pine, NC · Eyewear Supplier in North Carolina

Sources for this page

Verify at the official NPI Registry.