National Vision INC

NPI #1477282200 in Grand Rapids, Michigan

Provider Information

NPI Number: 1477282200
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Jun 7, 2022
Last Updated: Jun 7, 2022

Practice Location

Address: 3647 28TH ST SE
City: Grand Rapids
State: Michigan
ZIP Code: 49512-1605
Phone: (616) 389-6012

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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