NPIMap

Organization Active NPI

National Vision, Inc.

Doing business as Vista Optical

  • Optician
  • Fort Knox, KY
National Provider Identifier
1922541937
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
NATIONAL VISION, INC.
Doing business as
Vista Optical
Practice address
BLDG 127 Gold Vault Ave
Fort Knox, KY 40121
Phone
(502) 799-1672
Fax
(502) 799-1674
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

BLDG 127 Gold Vault Ave
Fort Knox, KY 40121

Mailing address

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

Other names 1

  • Vista Optical 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 11

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

Locations

127 Gold Vault Rd
Fort Knox, KY 40121
Phone (502) 624-9264

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1922541937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 COMMERCE AVE",
            "address_2": "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 127 GOLD VAULT AVE",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "40121",
            "telephone_number": "502-799-1672",
            "fax_number": "502-799-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Knox, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.