National Vision INC

NPI #1104443159 in Clinton, Utah

Provider Information

NPI Number: 1104443159
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Jun 25, 2020
Last Updated: Jun 25, 2020

Practice Location

Address: 1917 W 1800 N STE D1
City: Clinton
State: Utah
ZIP Code: 84015-8558
Phone: (801) 896-2952

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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