National Vision, Inc.

NPI #1255488813 in Rockford, Illinois

Provider Information

NPI Number: 1255488813
Entity Type: Organization
Organization Name: National Vision, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: NATIONAL VISION, INC.
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 5, 2007
Last Updated: Jan 28, 2009

Practice Location

Address: 6055 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2512
Phone: (815) 394-7412

Authorized Official

Name: SUSAN EDICK
Title: MC ASSISTANT
Phone: (678) 892-3774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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