NPIMap

Organization Active NPI

National Vision, Inc.

Doing business as Vista Optical (Military)

  • Optician
  • Fort Rucker, AL
National Provider Identifier
1770013369
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
NATIONAL VISION, INC.
Doing business as
Vista Optical (Military)
Practice address
BLDG 9214
Fort Rucker, AL 36362
Phone
(334) 503-9603
NPI assigned
Jun 15, 2017
Last updated
Jun 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Eric Antoine
Title
Managed Care
Phone
(678) 892-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

BLDG 9214
Fort Rucker, AL 36362

Mailing address

2435 Commerce Ave BLDG 2200
Duluth, GA 30096-4980
Phone (800) 571-5202

Other names 1

  • Vista Optical (Military) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Americas Best Contacts and Eyeglasses Inc1,621 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1770013369",
    "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": "800-571-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 9214",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-503-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGED CARE",
        "authorized_official_telephone_number": "678-892-3771"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Optical (Military)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Optical (Military)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.