National Vision INC

NPI #1396391686 in Machesney Park, Illinois

Provider Information

NPI Number
1396391686
Entity Type
Organization
Organization Name
National Vision INC
Primary Specialty
Optometrist
Enumeration Date
Aug 13, 2019
Last Updated
Aug 13, 2019

Practice Location

Address
1513 W LANE RD
ZIP Code
61115-1902
Phone
(779) 238-5851

Authorized Official

Name
LEAHANN RENE VAUGHN
Title
PROVIDER NETWORK MANAGER
Phone
(470) 448-2782

Specialties & Taxonomy Codes

Specialty
Optometrist

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