1023515905 NPI number — NATIONAL VISION, INC.

Table of content: (NPI 1023515905)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023515905 NPI number — NATIONAL VISION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL VISION, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AMERICA'S BEST CONTACTS & EYEGLASSES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023515905
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2435 COMMERCE AVE BLDG 2200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DULUTH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30096-4980
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-571-5202
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
515 ROUTE 70 STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08723-4043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-965-0069
Provider Business Practice Location Address Fax Number:
732-477-4606
Provider Enumeration Date:
04/09/2018

Additional Information

Authorized Official

Authorized Official Last Name:
MATOS
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGED CARE SALES COORDINATOR
Authorized Official Telephone Number:
678-892-3771

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com