National Vision INC

NPI #1023776788 in Meridian, Idaho

Provider Information

NPI Number: 1023776788
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Nov 30, 2021
Last Updated: Nov 30, 2021

Practice Location

Address: 1180 N EAGLE RD STE 101
City: Meridian
State: Idaho
ZIP Code: 83642-8091
Phone: (208) 202-3736

Authorized Official

Name: JULIE GARRISON
Title: MANAGED CARE STORE ENROLLEMENT
Phone: (770) 822-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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