National Vision INC

NPI #1346919354 in Fort Wayne, Indiana

Provider Information

NPI Number: 1346919354
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Sep 13, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 1722 APPLE GLEN BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-1725
Phone: (260) 702-4850

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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