National Vision, Inc.

Key facts

NPI

1790732717

Entity type

Organization (NPI type 2)

Primary specialty

Eyewear Supplier 332H00000X

Legal business name

NATIONAL VISION, INC.

Practice address

1215 E 16TH Ave
Cordele, GA 31015-1543

Phone

(229) 271-9286

NPI assigned

May 27, 2006

Organization subpart

No

Authorized official

Name

Leahann Vaughn

Title

Provider Network Administrator

Phone

(770) 822-3600

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2014.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1790732717",
    "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": "1215 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151543",
            "telephone_number": "229-271-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LEAHANN",
        "authorized_official_title_or_position": "PROVIDER NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "770-822-3600"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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