National Vision, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NATIONAL VISION, INC.

Practice address

S. Patrick Dr.
Building 1364
Patrick AFB, FL 32925

Phone

(321) 783-5580

NPI assigned

Jun 30, 2006

Last updated

Sep 15, 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

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1912936238",
    "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": "S. PATRICK DR.",
            "address_2": "BUILDING 1364",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "32925",
            "telephone_number": "321-783-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-09-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakisha C Miller, ARNP
• Lashawnda Mobley, PHARMD
• Eleni B Mohr, MS, RDN/LDN
• Eugene Selso Montano, PT
• Kevin J Murphy, DDS
• Lawrence Grant Nelson, MD
• Roccia Maria Oliveira Driscoll, PT, DPT
• Matthew Parker Padgett, FMHNP-BC
• Patrick Family Eye Care LLC
• Leonard Clark Perry, LMSW

• Eyewear Supplier in Patrick AFB, FL
• Providers in Patrick AFB, FL by specialty
• Eyewear Supplier in Florida

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