Organization Active NPI

National Vision Inc

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1851023907
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NATIONAL VISION INC
Doing business as
Eyeglass World
Practice address
9875 S Eastern Ave Ste E1
Las Vegas, NV 89183-6977
Phone
(725) 231-9985
NPI assigned
Jun 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Julie Garrison
Title
Managed Care Store Enrollment
Phone
(770) 822-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9875 S Eastern Ave Ste E1
Las Vegas, NV 89183-6977

Mailing address

2435 Commerce Ave BLDG 2200
Duluth, GA 30096-4980
Phone (770) 822-3600

Other names 1

  • Eyeglass World Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wal Mart Vision Ctr 2141,614 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

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

Locations

9875 S Eastern Ave
Ste E1
Las Vegas, NV 89183
Phone (725) 231-9985

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1851023907",
    "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": "770-822-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 S EASTERN AVE STE E1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836977",
            "telephone_number": "725-231-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGED CARE STORE ENROLLMENT",
        "authorized_official_telephone_number": "770-822-3600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeglass World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.