National Vision INC

NPI #1043860281 in Eagan, Minnesota

Provider Information

NPI Number: 1043860281
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Sep 19, 2019
Last Updated: Sep 19, 2019

Practice Location

Address: 1278 TOWN CENTRE DR STE 155
City: Eagan
State: Minnesota
ZIP Code: 55123-6404
Phone: (612) 851-0208

Authorized Official

Name: LEAHANN RENE VAUGHN
Title: MGD CARE PROVIDER NETWORK SPRVSR
Phone: (470) 448-2782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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