National Vision, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NATIONAL VISION, INC.

Doing business as

Vision Center

Practice address

204 Town Center Rd
Fayetteville, WV 25840-9540

Phone

(304) 574-3788

NPI assigned

Jun 9, 2006

Last updated

Nov 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leahann Vaughn

Title

Managed Care Sales Coordinator

Phone

(678) 892-3760

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vision Center Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1700827144",
    "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": "300465737",
            "telephone_number": "770-822-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 TOWN CENTER RD",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258409540",
            "telephone_number": "304-574-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LEAHANN",
        "authorized_official_title_or_position": "MANAGED CARE SALES COORDINATOR",
        "authorized_official_telephone_number": "678-892-3760"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151470004",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chassity Murphy-Young, MSW, LGSW
• Carrie Murrell, PA-C
• Travis Myers
• Nancy Carol Myles
• Jeanne Nagye
• Mary Ann Neal
• Stephanie L Neal, RN
• Kimberly J. Nemati, PA-C
• Elizabeth Anne Nestor, LMSW
• New River Health Association, Inc. (Fayetteville PK-8 School Based Health Center)

• Eyewear Supplier in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Eyewear Supplier in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.