National Vision INC

NPI #1558938563 in Mohegan Lake, New York

Provider Information

NPI Number: 1558938563
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Jun 8, 2021
Last Updated: Jun 8, 2021

Practice Location

Address: 3145 E MAIN ST
City: Mohegan Lake
State: New York
ZIP Code: 10547-1521
Phone: (845) 823-4063

Authorized Official

Name: LEAHANN RENE VAUGHN
Title: DIRECTOR OF MANAGED CARE SALES
Phone: (470) 448-2782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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