National Vision INC

NPI #1336869619 in Mesa, Arizona

Provider Information

NPI Number: 1336869619
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Aug 29, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 4425 E MCKELLIPS RD STE 112
City: Mesa
State: Arizona
ZIP Code: 85215-2550
Phone: (480) 333-6904

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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