National Vision INC

NPI #1336808278 in Indio, California

Provider Information

NPI Number: 1336808278
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Dec 8, 2021
Last Updated: Dec 8, 2021

Practice Location

Address: 42450 JACKSON STREET
City: Indio
State: California
ZIP Code: 92203
Phone: (760) 984-5220

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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